NPI age
16 years
Enumerated 2010-01-20
● Active Type 2 · Organization
Custom Rx
Custom Rx is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walthall
Pharmacist/manager
Last NPPES update
2016-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 55% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
173 W 4th St
Kuna, ID 836342046
Mailing address
Po Box 246
Kuna, ID 836340246
Authorized official
Travis Walthall
Pharmacist/manager
📞 2086318141
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Eric Schlerf, PHARM.D. Pharmacist NPI 1598931685
- Edward Walthall, PHARMD Pharmacist NPI 1952040461
- Travis Walthall, RPH Pharmacist NPI 1144566894
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2123536 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Custom Rx Pharmacy
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.