Custom Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31300 Issued in TX

Legal business name

CUSTOM CARE PHARMACY LLC

Practice address

20320 Northwest Fwy Ste 300
Jersey Village, TX 77065-5643

Phone

(832) 688-9666

Fax

(832) 604-7291

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Carmalita Landry

Title

Pharmacist

Phone

(832) 508-4799

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Custom Care Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmalita Marie Landry-Ovid, PHARM D; RPH.

  • Pharmacist
  • Houston, TX
  • NPI 1093258519
  NPD

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1861935389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 300",
            "address_2": "SUITE#300",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "832-688-9666",
            "fax_number": "832-604-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 300",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "832-688-9666",
            "fax_number": "832-604-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "CARMALITA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "832-508-4799"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31300",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394653501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME POS",
            "identifier": "7656600001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Custom Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gabriela Coronado
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• Romona G Dawson, RPH
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• Community/Retail Pharmacy in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.