Organization Active NPI

Capsule Los Angeles LLC

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1508364282
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55822 Issued in CA
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1508364282MedicaidCA

Other names 1

  • Capsule Pharmacy Doing business as

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.

Verify at the official NPI Registry.