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

Custom Rx Inc

Organization Compounding Pharmacy · NPI 1811091879

Custom Rx Inc is a Compounding Pharmacy in Wichita, Kansas. Licensed in Arkansas, Florida, Georgia and Iowa and 11 more. Registered with an NPI since 2006.

Licensed in
AR, FL, GA, IA, ID, IL
In the registry since
2006
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3510 N Ridge Rd Ste 900
Wichita, KS 67205-1225
Phone: (316) 721-2626
Fax: (316) 721-4823
Show map & directions

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

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence OS02495 (AR)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH00004390 (NM)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 44645MS (ID)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 4477 (IA)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 054.019573 (IL)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 64001361A (IN)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 209867 (KS)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH17904 (FL)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 2012019217 (MO)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH02874 (NV)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 264830 (MN)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PHNR000914 (GA)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PHAR1497 (ND)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 758 (NE)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 13708 (NC)

Record details

NPI number1811091879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Branam — Pharmacist In Charge · (316) 721-2626
Other names Custom Rx Pharmacy & Wellness Concepts; Custom Rx Pharmacy & Wellness Concepts
NPI enumeratedSeptember 12, 2006
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address3510 N Ridge Rd Ste 900, Wichita, KS 67205-1225