OrganizationActive
Custom Med Apothecary
NPI 1497963540 · Community/Retail Pharmacy · Indianapolis, IN
Custom Med Apothecary is a Community/Retail Pharmacy organization in Indianapolis, IN (NPI 1497963540).
Provider details
- NPI number
- 1497963540
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeff Jackson, Member(317) 803-3436
- License
- 60005496A (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5510 Lafayette Rd
Suite 260
Indianapolis, IN 46254-1685
Phone: (317) 803-3436
Fax: (317) 803-3437
Street-level locationGet directions
Mailing address
5510 Lafayette Rd
Indianapolis, IN 46254-1685
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Custom Med Apothecary's NPI number?
- Custom Med Apothecary's National Provider Identifier (NPI) is 1497963540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Med Apothecary?
- Custom Med Apothecary is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Custom Med Apothecary located?
- Custom Med Apothecary's practice location on file with NPPES is 5510 Lafayette Rd, Indianapolis, IN 46254-1685.
- What is Custom Med Apothecary's phone number?
- The practice phone number listed in the NPPES registry for Custom Med Apothecary is (317) 803-3436.
- Who is the authorized official for Custom Med Apothecary?
- The authorized official listed on Custom Med Apothecary's NPPES record is Jeff Jackson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Med Apothecary's NPI active?
- Yes — Custom Med Apothecary's NPI (1497963540) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.