Active NPI
Michelle Marie Caputa, BS, RPH, BCGP, MTM
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Brookline, MO
National Provider Identifier
1376136382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 042206
- Practice address
- 6129 W US Highway 60
Brookline, MO 65619-9441 - Phone
- (417) 708-5050
- NPI assigned
- Feb 19, 2021
- Last updated
- May 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 042206 | MO | Primary |
| Geriatric Pharmacist | 1835G0303X | 042206 | MO |
Addresses
Primary practice location
6129 W US Highway 60
Brookline, MO 65619-9441
Mailing address
6129 W US Highway 60
Brookline, MO 65619-9441
Phone (417) 708-5050
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042206 | MO | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri LTC Pharmacy LLC | Geriatric | Current | Accepting new patients |
| Missouri LTC Pharmacy LLC | Past | Accepting new patients |
Locations
6129 W US Highway 60
Brookline, MO 65619
Phone (417) 708-5050
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Infinium Pharmacy - Republic
- Long Term Care Pharmacy
- Brookline, MO
- NPI 1003327537
Geriatric
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1376136382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6129 W US HIGHWAY 60",
"city": "BROOKLINE",
"state": "MO",
"postal_code": "656199441",
"telephone_number": "417-708-5050",
"fax_number": "417-708-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6129 W US HIGHWAY 60",
"city": "BROOKLINE",
"state": "MO",
"postal_code": "656199441",
"telephone_number": "417-708-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUTA",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "BS, RPH, BCGP, MTM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "042206",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MO",
"license": "042206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.