OrganizationActive
Custom Rx Inc
NPI 1811091879 · Compounding Pharmacy · Wichita, KS
Custom Rx Inc is a Compounding Pharmacy organization in Wichita, KS (NPI 1811091879).
Provider details
- NPI number
- 1811091879
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nicholas Branam, Pharmacist in Charge(316) 721-2626
- License
- PH00004390 (NM)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
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
3510 N Ridge Rd Ste 900
Wichita, KS 67205-1225
Phone: (316) 721-2626
Fax: (316) 721-4823
Street-level locationGet directions
Mailing address
3510 N Ridge Rd Ste 900
Wichita, KS 67205-1225
Other names (DBA / former)
- Doing business as
- Custom Rx Pharmacy & Wellness Concepts
- Doing business as
- Custom Rx Pharmacy & Wellness Concepts
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Frequently asked questions
- What is Custom Rx Inc's NPI number?
- Custom Rx Inc's National Provider Identifier (NPI) is 1811091879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Rx Inc?
- Custom Rx Inc is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Custom Rx Inc located?
- Custom Rx Inc's practice location on file with NPPES is 3510 N Ridge Rd Ste 900, Wichita, KS 67205-1225.
- What is Custom Rx Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Rx Inc is (316) 721-2626.
- Who is the authorized official for Custom Rx Inc?
- The authorized official listed on Custom Rx Inc's NPPES record is Nicholas Branam, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Rx Inc's NPI active?
- Yes — Custom Rx Inc's NPI (1811091879) is active in the NPPES registry as of the last update on 2023-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.