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

Custom Rx

Organization Pharmacy · NPI 1457682114

Custom Rx is a Pharmacy in Kuna, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
3

Practice location Address checks out

173 W 4th St
Kuna, ID 83634-2046
Phone: (208) 922-4400
Fax: (208) 922-4499
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 2399RP (ID)
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1457682114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Walthall — Pharmacist/Manager · (208) 631-8141
Other names Custom Rx Pharmacy
NPI enumeratedJanuary 20, 2010
Last updated in NPPESJune 17, 2016
Mailing addressPo Box 246, Kuna, ID 83634-0246

Other providers in Kuna