Customedica Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CUSTOMEDICA PHARMACY INC

Practice address

1915 W State St
Boise, ID 83702-3958

Phone

(208) 515-2211

Fax

(208) 515-7989

NPI assigned

Aug 17, 2016

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 2

Addresses

Other identifiers 1

Other names 1

• Customedica Pharmacy North End Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Customedica Compounding Center2 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.

• Customedica Pharmacy Inc

  • Compounding Pharmacy
  • Eagle, ID
  • NPI 1508162454
  NPD tax ID

Locations

Practitioners 3

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

• Matthew C Murray, PHARM.D.

  • Pharmacist
  • Eagle, ID
  • NPI 1942624515
  NPD (past) Authorized official
• Caitlin Trisler, PHARMD

  • Pharmacist
  • Boise, ID
  • NPI 1205200821
  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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1982159133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023958",
            "telephone_number": "208-515-2211",
            "fax_number": "208-515-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023958",
            "telephone_number": "208-515-2211",
            "fax_number": "208-515-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMEDICA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ID",
            "license": "43415RP",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982159133",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Customedica Pharmacy North End",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Curtright, NP
• Barry Justin Cusack, MD
• Sorcha M Cusack, PA-C
• Rebecca Lynn Cushing
• Austin R Cushman, M.D.
• A Riley Cutler, DDS
• David William Cutler, DDS
• Martin Michael Cutler, PHD, LPC, NCC
• Rachel Cutler, CADC
• Vicki Smith Cutshall, RN

• Community/Retail Pharmacy in Boise, ID
• Providers in Boise, 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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.