Active NPI
Capital Apothecary, LLC
- Community/Retail Pharmacy
- Baytown, TX
National Provider Identifier
1447836374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1T0666 | Medicaid | TX |
Other names 1
- Capital Apothecary
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210819003115 | TX | Part B Supplier - Pharmacy | 7719382324 | Practice locations: Baytown, TX |
National Provider Directory
National Provider DirectoryNPI 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.