Organization Active NPI

CRX Health Services LLC

Doing business as Custom Rx Pharmacy Melba

  • Community/Retail Pharmacy
  • Melba, ID
National Provider Identifier
1235858689
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CRX HEALTH SERVICES LLC
Doing business as
Custom Rx Pharmacy Melba
Practice address
112 4TH St
Melba, ID 83641-5197
Phone
(208) 495-9809
Fax
(208) 495-9068
NPI assigned
Aug 26, 2022
Last updated
Aug 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CRX HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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

Authorized official

Name
Eric Schlerf, PHARMDNPI 1598931685
Title
Pharmacist/Owner
Phone
(208) 922-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

112 4TH St
Melba, ID 83641-5197

Mailing address

173 W 4TH St
Kuna, ID 83634-2087
Phone (208) 922-4400

Other names 1

  • Custom Rx Pharmacy Melba Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRX Health Services LLC2 organizations share this tax ID, including this one
Part of
CRX Health Services LLC

Other organizations with this tax ID 1

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

Locations

112 4th St
Melba, ID 83641
Phone (208) 495-9809

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661558400000",
    "number": "1235858689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 W 4TH ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342087",
            "telephone_number": "208-922-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 4TH ST",
            "city": "MELBA",
            "state": "ID",
            "postal_code": "836415197",
            "telephone_number": "208-495-9809",
            "fax_number": "208-495-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRX HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRX HEALTH SERVICES LLC",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "SCHLERF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "208-922-4400",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Rx Pharmacy Melba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melba, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.