Custom Pharmacy Innovations Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18135 Issued in OK

Legal business name

CUSTOM PHARMACY INNOVATIONS INC

Practice address

10911 NE 23Rd
Nicoma Park, OK 73066

Phone

(405) 769-8585

Fax

(405) 769-8787

NPI assigned

Oct 2, 2006

Last updated

Oct 28, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Farhana Kabir

Title

Managing Owner

Phone

(405) 769-8585

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Custom Pharmacy Innovations Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Custom Pharmacy Innovations Inc

  • Long Term Care Pharmacy
  • Oklahoma City, OK
  • NPI 1740101807
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tao Chen, DPH

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1790452951
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1073606240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "NICOMA PARK",
            "state": "OK",
            "postal_code": "730660489",
            "telephone_number": "405-769-8585",
            "fax_number": "405-769-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 NE 23RD",
            "city": "NICOMA PARK",
            "state": "OK",
            "postal_code": "73066",
            "telephone_number": "405-769-8585",
            "fax_number": "405-769-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM PHARMACY INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "KABIR",
        "authorized_official_first_name": "FARHANA",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "405-769-8585"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "18135",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200095530A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2077070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allied Community Services, Inc.
• Linda Kastner, L.P.C.

• Community/Retail Pharmacy in Nicoma Park, OK
• Providers in Nicoma Park, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.