Organization Active NPI

Capsule Minneapolis LLC

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1093367526
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAPSULE MINNEAPOLIS LLC
Practice address
117 Washington Ave N Ste 100
Minneapolis, MN 55401-1693
Phone
(612) 504-1000
Fax
(612) 500-4742
NPI assigned
Jul 15, 2019
Organization subpart
Yes
Parent organization
CAPSULE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Kinariwala
Title
Sole Member
Phone
(888) 685-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

117 Washington Ave N Ste 100
Minneapolis, MN 55401-1693

Mailing address

122 W 146TH St
New York, NY 10039-3802
Phone (888) 685-9515

Other names 1

  • Capsule Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211230001532 MN Part B Supplier - Pharmacy 2769898782 Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory
Part of
Capsule Corporation

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

117 Washington Ave N
Ste 100
Minneapolis, MN 55401
Phone (414) 600-3564

122 W 146th St
New York, NY 10039
Phone (212) 675-3900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1093367526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 146TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393802",
            "telephone_number": "888-685-9515",
            "fax_number": "646-934-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WASHINGTON AVE N STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011693",
            "telephone_number": "612-504-1000",
            "fax_number": "612-500-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSULE MINNEAPOLIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSULE CORPORATION",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "KINARIWALA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "888-685-9515"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capsule Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capsule Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.