NPI age
9 years
Enumerated 2016-08-17
● Active Type 2 · Organization
Customedica Pharmacy Inc
Customedica Pharmacy Inc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Murray
President
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-08Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1915 W State St
Boise, ID 837023958
Mailing address
1915 W State St
Boise, ID 837023958
Authorized official
Matthew C Murray, PHARM.D.
President
📞 2089398008
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Caitlin Trisler, PHARMD Pharmacist NPI 1205200821
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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1982159133 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Customedica Pharmacy North End
Practice context
Multi-provider organization. 1 individual provider 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 →
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