NPIMap

Organization Active NPI

CRX Health Services LLC

Doing business as Custom Rx Pharmacy

  • Community/Retail Pharmacy
  • Kuna, ID
National Provider Identifier
1396464566
Registry record updated Dec 19, 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
Practice address
173 W 4TH St
Kuna, ID 83634-2087
Phone
(208) 922-4400
Fax
(208) 922-4499
NPI assigned
Aug 23, 2022
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

173 W 4TH St
Kuna, ID 83634-2087

Mailing address

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

Other names 1

  • Custom Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRX Health Services LLC2 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.

Locations

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1396464566",
    "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",
            "fax_number": "208-922-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 W 4TH ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342087",
            "telephone_number": "208-922-4400",
            "fax_number": "208-922-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRX HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Custom Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.