Capak Incorporated

Primary specialty

PharmacistTaxonomy code 183500000X

License

FL10967 Issued in FL

Legal business name

CAPAK INCORPORATED

Doing business as

Osceola Health Mart Pharmacy

Practice address

1615-1635 14TH Ave
Vero Beach, FL 32960-0435

Phone

(772) 562-3660

Fax

(772) 562-3650

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Douglas T Miller, RPH

Title

President

Phone

(772) 778-8585

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Osceola Health Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1336146919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 14TH AVE # 1635",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-562-3660",
            "fax_number": "772-562-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615-1635 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-562-3660",
            "fax_number": "772-562-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPAK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-778-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "FL10967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027088198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677213700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027088100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027088196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101464100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.