OrganizationActive
Custom Pharmacy, Inc
NPI 1609298777 · Community/Retail Pharmacy · Evans, GA
Custom Pharmacy, Inc is a Community/Retail Pharmacy organization in Evans, GA (NPI 1609298777).
Provider details
- NPI number
- 1609298777
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eric Holgate, Pharmacist(706) 737-3955
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1202 Town Park Lane
Suite 200
Evans, GA 30809
Phone: (706) 737-3955
Fax: (706) 737-6323
Street-level locationGet directions
Mailing address
1543 15th Street
Augusta, GA 30901
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2014-01-09
Frequently asked questions
- What is Custom Pharmacy, Inc's NPI number?
- Custom Pharmacy, Inc's National Provider Identifier (NPI) is 1609298777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Pharmacy, Inc?
- Custom Pharmacy, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Custom Pharmacy, Inc located?
- Custom Pharmacy, Inc's practice location on file with NPPES is 1202 Town Park Lane, Evans, GA 30809.
- What is Custom Pharmacy, Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Pharmacy, Inc is (706) 737-3955.
- Who is the authorized official for Custom Pharmacy, Inc?
- The authorized official listed on Custom Pharmacy, Inc's NPPES record is Eric Holgate, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Pharmacy, Inc's NPI active?
- Yes — Custom Pharmacy, Inc's NPI (1609298777) is active in the NPPES registry as of the last update on 2014-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.