CUSTOM IVY INC NPI 1346105228

NPI Information

  • NPI: 1346105228
  • Provider Name: CUSTOM IVY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 72 ARGONAUT STE 130
    ALISO VIEJO, CA
    ZIP 92656
  • Phone: (949) 520-6864

Map and Directions

Get Directions

NPI Details

CUSTOM IVY INC is a pharmacy in Aliso Viejo, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CUSTOM IVY INC NPI is 1346105228. The provider is registered as an organization entity type.

The provider's business location address is:

72 ARGONAUT STE 130
ALISO VIEJO, CA
ZIP 92656-144
Phone: (949) 520-6864

The provider's authorized official is Greg Ware .
The authorized official title is Ceo/cfo/sec. and has the following contact phone number (949) 615-6534.

The enumeration date for this NPI number is 12/22/2025 and was last updated on 12/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI