Organization Profile
Custom Pharmacy Innovations INC is a healthcare organization in Nicoma Park, OK, registered under community / retail pharmacy. This organization is also listed as specializing in pharmacy and clinic pharmacy. According to Medicare claims data, the services billed most often include administration of influenza virus vaccine, influenza vaccine, inactivated, and sarscov2 vac 50 mcg/0.5ml im. This provider record is associated with NPI 1073606240.
Factual summary compiled by Guide.md from public records; not written by this provider.
10911 NE 23RD
Nicoma Park, OK 73066
1,020 services · 1,014 patients · 7 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine, inactivated | Treatment | 90653 |
265 |
| Sarscov2 vac 50 mcg/0.5ml im | Treatment | 91322 |
189 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
189 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Treatment | 90677 |
40 |
| Pneumococcal vaccine, 23-valent | Treatment | 90732 |
12 |
| Administration of influenza virus vaccine | Billing code | G0008 |
273 |
| Administration of pneumococcal vaccine | Billing code | G0009 |
52 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Custom Pharmacy Innovations INC is a community / retail pharmacy in Nicoma Park, OK. That is the designation recorded for this NPI in the federal registry.
NPI registry
Custom Pharmacy Innovations INC is listed at 10911 Ne 23Rd, Nicoma Park, OK 73066. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (405) 769-8585. Contact the office directly to confirm availability and scheduling.
NPI registry
Custom Pharmacy Innovations INC's National Provider Identifier is 1073606240. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
According to Medicare billing data, Custom Pharmacy Innovations INC provides treatments such as influenza vaccine, inactivated and sarscov2 vac 50 mcg/0.5ml im. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Custom Pharmacy Innovations INC. If this is you, claiming it is free.
Guide.md
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