Capsule Philadelphia LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CAPSULE PHILADELPHIA LLC

Practice address

117 S 20TH St
Philadelphia, PA 19103-4606

Phone

(215) 867-8777

Fax

(215) 330-4933

NPI assigned

Nov 9, 2020

Organization subpart

Yes

Parent organization

CAPSULE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Eric Kinariwala

Title

Sole Manager

Phone

(888) 685-9515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capsule Pharmacy Doing business as

Tax ID family

Capsule Pharmacy2 organizations share this tax ID, including this one

Part of

Capsule Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capsule Philadelphia LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1962048678
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soon Bum Kwon

  • Pharmacist
  • Philadelphia, PA
  • NPI 1295528545
  NPD
• Bolanle Obafemi, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1144814088
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1669073375",
    "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": "117 S 20TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034606",
            "telephone_number": "215-867-8777",
            "fax_number": "215-330-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSULE PHILADELPHIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSULE CORPORATION",
        "enumeration_date": "2020-11-09",
        "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 MANAGER",
        "authorized_official_telephone_number": "888-685-9515"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037763620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capsule Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capsule Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debora Antonia Capriotti, R.PH.
• Maria Rose Capriotti, CRNP
• Brianna Capron, DO
• Capstone Physical Therapy & Fitness LLC
• Capstone Services and Consulting
• Capsule Philadelphia LLC
• Jessica Caputo, CRNP
• Johanne K Caputo
• Kevin Patrick Caputo, MD
• Larry A Caputo

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• 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.