Organization Active NPI

Capital Apothecary, LLC

  • Community/Retail Pharmacy
  • Baytown, TX
National Provider Identifier
1447836374
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAPITAL APOTHECARY, LLC
Practice address
2802 Garth Rd Ste 101
Baytown, TX 77521-3924
Phone
(281) 764-6135
Fax
(832) 872-2436
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Chasity Tezeno
Title
Principal
Phone
(832) 306-0012

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2802 Garth Rd Ste 101
Baytown, TX 77521-3924

Mailing address

1319 Richmond Ave Unit 667603
Houston, TX 77266-0073
Phone (281) 478-9044

Other identifiers 1

IdentifierTypeStateIssuer
1T0666MedicaidTX

Other names 1

  • Capital Apothecary Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@capapothecary.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210819003115 TX Part B Supplier - Pharmacy 7719382324 Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1447836374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 RICHMOND AVE UNIT 667603",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772660073",
            "telephone_number": "281-478-9044",
            "fax_number": "832-539-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 101",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213924",
            "telephone_number": "281-764-6135",
            "fax_number": "832-872-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "TEZENO",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "832-306-0012"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1T0666",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@capapothecary.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "2802 Garth Rd Ste 101",
            "city": "Baytown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775213924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Capital Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.