Organization
CUSTOM CARE PHARMACY LLC
Active
Organization
CUSTOM CARE PHARMACY LLC
Active
Other names
Custom Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMALITA LANDRY (PHARMACIST)
(832) 508-4799
Entity
Organization
Contact information
Practice address
20320 NORTHWEST FWY STE 300, JERSEY VILLAGE, TX 77065-5643
(832) 688-9666
(832) 604-7291
Mailing address
20320 NORTHWEST FWY STE 300, SUITE#300, JERSEY VILLAGE, TX 77065-5643
(832) 688-9666
(832) 604-7291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31300
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166614
PK
—
05
—
394653501
—
TX
01
—
7656600001
DME POS
—
Enumeration date
12/01/2016
Last updated
09/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up