NPI age
19 years
Enumerated 2007-02-21
● Active Type 2 · Organization
Customedica Pharmacy Inc
Customedica Pharmacy Inc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Murray
President
Last NPPES update
2026-01-17
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
149 W State St Ste 101
Eagle, ID 836164911
Mailing address
149 W State St Ste 101
Eagle, ID 836164911
Authorized official
Matthew C Murray, PHARM.D.
President
📞 2089398008
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Alex Wald Pharmacist NPI 1295101400
- Alyssa Zibrowski, PHARM.D. Pharmacist NPI 1447710728
Specialties
-
Pharmacy PrimaryA 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 |
|---|---|---|
| 05 (ID) | 1780729988 | |
| 01 (ID) | 1651RP | REGISTRATION |
Practice context
Multi-provider organization. 2 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.