Active NPI
Capsule Los Angeles LLC
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1508364282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 55822
- Legal business name
- CAPSULE LOS ANGELES LLC
- Practice address
- 8065 W 3Rd Street
Los Angeles, CA 90048-4316 - Phone
- (323) 792-1444
- Fax
- (323) 919-8862
- NPI assigned
- Jan 26, 2018
- Organization subpart
- Yes
- Parent organization
- CAPSULE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Kinariwala
- Title
- Sole Member
- Phone
- (888) 685-9515
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 55822 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
8065 W 3Rd Street
Los Angeles, CA 90048-4316
Mailing address
122 W 146TH St
New York, NY 10039-3802
Phone (888) 685-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508364282 | Medicaid | CA |
Other names 1
- Capsule Pharmacy
National Provider Directory
National Provider Directory- Part of
- Capsule Corporation
Locations
8065 W 3rd St
Los Angeles, CA 90048
Phone (323) 792-1444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1508364282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W 146TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393802",
"telephone_number": "888-685-9515",
"fax_number": "646-934-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8065 W 3RD STREET",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484316",
"telephone_number": "323-792-1444",
"fax_number": "323-919-8862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSULE LOS ANGELES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPSULE CORPORATION",
"enumeration_date": "2018-01-26",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "KINARIWALA",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "888-685-9515",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "55822",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508364282",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Capsule Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.