Customedica Pharmacy, Inc

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NPI Number Detailed Information

Provider Information:

Name:	Customedica Pharmacy, Inc
Gender:
Provider License Number If Given:	1651CP

NPI Information:

NPI:	1780729988
Entity Type (Individual or Organization):	2-org
Enumeration Date:	2/21/2007
Last Update Date:	3/7/2023

Provider Business Mailing Address:

Address:	149 W STATE ST SUITE 101 Eagle, ID 83616
Phone Number:	2089398008
Fax Number:	2089381067

Provider Business Practice Location Address:

Address:	149 W STATE ST SUITE 101 Eagle, ID 83616
Phone Number:	2089398008
Fax Number:	2089381067

Provider Taxonomy:

Primary:	3336C0004X
Secondary (if any):	3336C0003X
State:	ID

Top Doctors in ID

About Customedica Pharmacy, Inc

Customedica Pharmacy, Inc ( CUSTOMEDICA PHARMACY, INC ) is A Pharmacy Provider in Eagle, ID. The NPI Number for Customedica Pharmacy, Inc is 1780729988.

The current location address for Customedica Pharmacy, Inc is 149 W STATE ST SUITE 101 Eagle, ID 83616 and the contact number is 2089398008 and fax number is 2089381067. The mailing address for Customedica Pharmacy, Inc is 149 W STATE ST SUITE 101 Eagle, ID 83616- 2089398008 (mailing address contact number - 2089398008).

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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Customedica Pharmacy, Inc ?

Answer: The NPI Number for Customedica Pharmacy, Inc is 1780729988

Where is Customedica Pharmacy, Inc located?

Answer: Customedica Pharmacy, Inc is located at 149 W STATE ST SUITE 101 Eagle, ID 83616.

What is the specialty for Customedica Pharmacy, Inc ?

Answer: The Specialty of Customedica Pharmacy, Inc is A Pharmacy Provider.

Are there any online reviews for Customedica Pharmacy, Inc ?

Answer: Not yet!

Are there any other health care providers in Eagle, ID?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Customedica Pharmacy, Inc

Number of HCPCS	7
Number of Medicare Beneficiaries	66
Number of Services	76
Total Submitted Charge Amount	4090.08
Total Medicare Allowed Amount	2641.29
Total Medicare Payment Amount	2641.29
Total Medicare Standardized Payment Amount	2811.36
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	37
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	36
Number of Male Beneficiaries	30
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension	0.21
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.17
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.7086

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