OrganizationActive
Customedica Pharmacy Inc
NPI 1982159133 · Community/Retail Pharmacy · Boise, ID
Provider details
- NPI number
- 1982159133
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Matthew Murray, President(208) 939-8008
- License
- 43415RP (ID)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1915 W State St
Boise, ID 83702-3958
Phone: (208) 515-2211
Fax: (208) 515-7989
Street-level locationGet directions
Mailing address
1915 W State St
Boise, ID 83702-3958
Other names (DBA / former)
- Doing business as
- Customedica Pharmacy North End
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.