OrganizationActive
Custom Rx, PC
NPI 1790925725 · Compounding Pharmacy · Broken Bow, NE
Custom Rx, PC is a Compounding Pharmacy organization in Broken Bow, NE (NPI 1790925725).
Provider details
- NPI number
- 1790925725
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Holcomb, Pharmacist/Owner(308) 872-5602
- License
- 2818 (NE)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
540 S 8th Ave Ste B
Broken Bow, NE 68822-2456
Phone: (308) 872-5602
Fax: (308) 872-2377
Street-level locationGet directions
Mailing address
540 S 8th Ave Ste B
Broken Bow, NE 68822-2456
Registry dates
- Enumerated
- 2009-03-03
- Last updated
- 2009-03-03
Frequently asked questions
- What is Custom Rx, PC's NPI number?
- Custom Rx, PC's National Provider Identifier (NPI) is 1790925725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Rx, PC?
- Custom Rx, PC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Custom Rx, PC located?
- Custom Rx, PC's practice location on file with NPPES is 540 S 8th Ave Ste B, Broken Bow, NE 68822-2456.
- What is Custom Rx, PC's phone number?
- The practice phone number listed in the NPPES registry for Custom Rx, PC is (308) 872-5602.
- Who is the authorized official for Custom Rx, PC?
- The authorized official listed on Custom Rx, PC's NPPES record is Mike Holcomb, Pharmacist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Rx, PC's NPI active?
- Yes — Custom Rx, PC's NPI (1790925725) is active in the NPPES registry as of the last update on 2009-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.