Custom Ivy Inc

LBN: Custom Ivy Inc
Custom Ivy Inc is an health care organization with primary practice located at 72 Argonaut Ste 130 , Aliso Viejo CA 92656-4144. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Custom Ivy Inc can be contacted via phone (949) 520-6864, or through Ware, Greg via phone (949) 615-6534.

Contact Information

Primary practice address
72 Argonaut Ste 130 Aliso Viejo CA 92656-4144
Phone: (949) 520-6864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ware, Greg
Phone: (949) 615-6534

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1346105228
LBN Legal business name Custom Ivy Inc
DBA Doing business as
Authorized official Ware, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2025
Last updated Dec 22nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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