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

Fort Wayne Custom Rx, Inc

Organization Pharmacist · NPI 1841347481

Fort Wayne Custom Rx, Inc is a Pharmacist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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

425 E Dupont Rd
Fort Wayne, IN 46825-2051
Phone: (260) 490-3447
Fax: (260) 490-3457
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26015397 (IN)

Record details

NPI number1841347481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Russell — President · (260) 490-3447
Other names Fort Wayne Custom Rx
NPI enumeratedJanuary 5, 2007
Last updated in NPPESNovember 12, 2014
Mailing address425 E Dupont Rd, Fort Wayne, IN 46825-2051

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