CUSTOM MED INC. NPI 1851005722

NPI Information

NPI: 1851005722
Provider Name: CUSTOM MED INC.
Classification: Pharmacy - 3336C0004X
Specialization: Compounding Pharmacy
Entity Type: Organization
Address: 23965 NOVI RD STE 100
NOVI, MI
ZIP 48375
Phone: (317) 340-1245

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NPI Details

CUSTOM MED INC. is a compounding pharmacy pharmacy in Novi, MI. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. CUSTOM MED INC. NPI is 1851005722. The provider is registered as an organization entity type.

The provider's business location address is:

23965 NOVI RD STE 100
NOVI, MI
ZIP 48375-232
Phone: (317) 340-1245

The provider's authorized official is Nadera Abu Mahfoud .
The authorized official title is Pharmacist In Charge and has the following contact phone number (317) 523-4310.

The enumeration date for this NPI number is 1/5/2023 and was last updated on 1/5/2023.

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
1	3336C0004X	Pharmacy	Compounding Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	-	OTHER		-

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

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