Customedica Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1651CP Issued in ID

Legal business name

CUSTOMEDICA PHARMACY INC

Practice address

149 W State St Ste 101
Eagle, ID 83616-4911

Phone

(208) 939-8008

Fax

(208) 938-1067

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Matthew C Murray, PHARM.D.NPI 1942624515

Title

President

Phone

(208) 939-8008

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Matthew C Murray, PHARM.D.

  • Pharmacist
  • Eagle, ID
  • NPI 1942624515
  NPD (past) Authorized official
• Alex Wald

  • Pharmacist
  • Eagle, ID
  • NPI 1295101400
  NPD (past)
• Alyssa Renae Zibrowski, PHARM.D.

  • Pharmacist
  • Eagle, ID
  • NPI 1447710728
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1780729988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W STATE ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164911",
            "telephone_number": "208-939-8008",
            "fax_number": "208-938-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W STATE ST STE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164911",
            "telephone_number": "208-939-8008",
            "fax_number": "208-938-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMEDICA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-939-8008",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "1651CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780729988",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "1651RP",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ray Culp, FNP
• Natalie Cundick
• Maryanne Hartman Cunningham, RDN
• Lynn Curvey, LCSW
• Customedica Pharmacy Inc (Customedica Compounding Center)
• Rebekah Dianne Cutler, PA
• CWCD, P.C. (Cottonwood Creek Dental)
• Alexas Dahl
• Joseph Gordon Daines, M.D.
• Dan Streeby, D.D.S.

• Community/Retail Pharmacy in Eagle, ID
• Providers in Eagle, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.