Customedica Pharmacy Inc
NPI 1780729988 · Community/Retail Pharmacy · Eagle, ID
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Customedica Pharmacy Inc is a Community/Retail Pharmacy organization in Eagle, ID (NPI 1780729988).
Provider details
- NPI number
- 1780729988
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matthew Murray, President(208) 939-8008
- License
- 1651CP (ID)
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2026-01-17
- Certified
- 2026-01-17
Frequently asked questions
- What is Customedica Pharmacy Inc's NPI number?
- Customedica Pharmacy Inc's National Provider Identifier (NPI) is 1780729988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Customedica Pharmacy Inc?
- Customedica Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Customedica Pharmacy Inc located?
- Customedica Pharmacy Inc's practice location on file with NPPES is 149 W State St Ste 101, Eagle, ID 83616-4911.
- What is Customedica Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Customedica Pharmacy Inc is (208) 939-8008.
- Does Customedica Pharmacy Inc accept Medicare?
- Customedica Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Customedica Pharmacy Inc?
- The authorized official listed on Customedica Pharmacy Inc's NPPES record is Matthew Murray, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Customedica Pharmacy Inc's NPI active?
- Yes — Customedica Pharmacy Inc's NPI (1780729988) is active in the NPPES registry as of the last update on 2026-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.