Individual provider Active NPI

Marta Michele Capriola, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1154763464
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.296684 Issued in IL
Practice address
1940 W 33Rd St
Target Pharmacy Store Number T2078
Chicago, IL 60608-6107
Phone
(773) 843-3267
NPI assigned
Jul 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.296684 IL Primary

Addresses

Primary practice location

1940 W 33Rd St
Target Pharmacy Store Number T2078
Chicago, IL 60608-6107

Mailing address

1940 W 33Rd St
Target Pharmacy Store Number T2078
Chicago, IL 60608-6107
Phone (773) 843-3267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.296684ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374969600000",
    "number": "1154763464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W 33RD ST",
            "address_2": "TARGET PHARMACY STORE NUMBER T2078",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086107",
            "telephone_number": "773-843-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W 33RD ST",
            "address_2": "TARGET PHARMACY STORE NUMBER T2078",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086107",
            "telephone_number": "773-843-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIOLA",
        "first_name": "MARTA",
        "middle_name": "MICHELE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.296684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.