Custom Rx Inc
Compounding Pharmacy
3510 N Ridge Rd Ste 900, Wichita
Kansas, 67205-1225
316-721-2626 316-721-4823
Custom Rx Inc is a Compounding Pharmacy in Wichita, Kansas. It is located at 3510 N Ridge Rd Ste 900, Wichita and it's customer support contact number is 316-721-2626. The authorized person of Custom Rx Inc is Dr. Nicholas L Branam, PHARM.D. who is Pharmacist In Charge of the pharmacy and his contact number is 316-721-2626. Active license number of Custom Rx Inc is OS02495 for Compounding Pharmacy in Arkansas.
Custom Rx Inc is a 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 professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Custom Rx Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Custom Rx Inc |
| Type: | Compounding Pharmacy |
| Location: | 3510 N Ridge Rd Ste 900, Wichita,
Kansas, 67205-1225 |
| Phone: | 316-721-2626 |
| Fax: | 316-721-4823 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Nicholas L Branam |
| Credentials: | PHARM.D. |
| Position: | Pharmacist In Charge |
| Contact Number: | 316-721-2626 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1811091879 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 12 Jul, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Rx Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | OS02495 | Arkansas | Primary | |
| Compounding Pharmacy | PH00004390 | New Mexico | Secondary | |
| Compounding Pharmacy | 44645MS | Idaho | Secondary | |
| Compounding Pharmacy | 4477 | Iowa | Secondary | |
| Compounding Pharmacy | 054.019573 | Illinois | Secondary | |
| Compounding Pharmacy | 64001361A | Indiana | Secondary | |
| Compounding Pharmacy | PH02874 | Nevada | Secondary | |
| Compounding Pharmacy | 264830 | Minnesota | Secondary | |
| Compounding Pharmacy | PHNR000914 | Georgia | Secondary | |
| Compounding Pharmacy | PHAR1497 | North Dakota | Secondary | |
| Compounding Pharmacy | 209867 | Kansas | Secondary | |
| Compounding Pharmacy | PH17904 | Florida | Secondary | |
| Compounding Pharmacy | 2012019217 | Missouri | Secondary | |
| Compounding Pharmacy | 758 | Nebraska | Secondary | |
| Compounding Pharmacy | 13708 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2027079 | Other | | Pk |
| 100445230C | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3510 N Ridge Rd Ste 900,
Wichita, Kansas |
| Zip: | 67205-1225 |
| Phone Number: | 316-721-2626 |
| Fax Number: | 316-721-4823 |
Patients can reach Custom Rx Inc at
3510 N Ridge Rd Ste 900, Wichita, Kansas or can
call on customer care at 316-721-2626.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.