Organization Active NPI

Capitol Pharmacy Inc

  • Pharmacy
  • Sacramento, CA
National Provider Identifier
1619273687
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY50589 Issued in CA
Legal business name
CAPITOL PHARMACY INC
Practice address
4220 Florin Rd # 111
Sacramento, CA 95823-2508
Phone
(916) 231-0277
Fax
(916) 231-0330
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Thomas Bui
Title
President/Owner
Phone
(916) 617-4321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50589 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4220 Florin Rd # 111
Sacramento, CA 95823-2508

Mailing address

2923 W Capitol Ave
West Sacramento, CA 95691-2910
Phone (916) 617-4321

Other identifiers 2

IdentifierTypeStateIssuer
1619273687MedicaidCA
2129859OtherPK

Other names 1

  • RANCH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4220 Florin Rd
Ste 111
Sacramento, CA 95823
Phone (916) 617-4321

4220 Florin Rd
#111
Sacramento, CA 95823
Phone (916) 231-0277

2923 W Capitol Ave
West Sacramento, CA 95691
Phone (916) 617-4321

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1619273687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 W CAPITOL AVE",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912910",
            "telephone_number": "916-617-4321",
            "fax_number": "916-617-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 FLORIN RD # 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232508",
            "telephone_number": "916-231-0277",
            "fax_number": "916-231-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-617-4321"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50589",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619273687",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.