Organization Active NPI

Capture RX Pharmacy Inc

Doing business as Central Drugs

  • Pharmacy
  • Glendale, NY
National Provider Identifier
1144978453
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CAPTURE RX PHARMACY INC
Doing business as
Central Drugs
Practice address
6715 Central Ave
Glendale, NY 11385-6633
Phone
(347) 844-9911
Fax
(347) 844-9754
NPI assigned
Mar 15, 2022
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Khalil Khalilov
Title
President
Phone
(347) 844-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

6715 Central Ave
Glendale, NY 11385-6633

Mailing address

6715 Central Ave
Glendale, NY 11385-6633
Phone (347) 844-9911

Other identifiers 1

IdentifierTypeStateIssuer
039323OtherNYSTATE BOARD OF PHARMACY

Other names 1

  • CENTRAL DRUGS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220531000751 NY Part B Supplier - Pharmacy 6406234681 Practice locations: Glendale, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1144978453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 CENTRAL AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856633",
            "telephone_number": "347-844-9911",
            "fax_number": "347-844-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 CENTRAL AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856633",
            "telephone_number": "347-844-9911",
            "fax_number": "347-844-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTURE RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "KHALILOV",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-844-9911"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "039323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.