Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Pharmacy Innovations Inc

Organization Pharmacy · NPI 1073606240

Custom Pharmacy Innovations Inc is a Pharmacy in Nicoma Park, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10911 NE 23rd
Nicoma Park, OK 73066
Phone: (405) 769-8585
Fax: (405) 769-8787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 18135 (OK)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1073606240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farhana Kabir — Managing Owner · (405) 769-8585
NPI enumeratedOctober 2, 2006
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing addressPo Box 489, Nicoma Park, OK 73066-0489