Organization Active NPI

Capstone Pharmacy, Inc

  • Community/Retail Pharmacy
  • Mt Pleasant, IA
National Provider Identifier
1669865762
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1511 Issued in IA
Legal business name
CAPSTONE PHARMACY, INC
Practice address
210 N Jefferson St
Mt Pleasant, IA 52641-2017
Phone
(319) 385-0733
Fax
(319) 385-0735
NPI assigned
Mar 13, 2015
Organization subpart
Yes
Parent organization
STEEL BLUE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Dr. Tan T Ho, PHARM.DNPI 1164821021
Title
Pharmacist/Owner
Phone
(319) 321-3236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1511 IA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

210 N Jefferson St
Mt Pleasant, IA 52641-2017

Mailing address

210 N Jefferson St
Mt Pleasant, IA 52641-2017
Phone (319) 385-0733

Other identifiers 1

IdentifierTypeStateIssuer
0216975MedicaidIA

Other names 1

  • Capstone Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180706000591 IA DME Supplier - Pharmacy 4486916509 Practice locations: Mt Pleasant, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Capstone Pharmacy210 N Jefferson St, Mt Pleasant, IA 52641-2017(319) 385-0733 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Mar 26, 2017

National Provider Directory

National Provider Directory

Locations

210 N Jefferson St
Mt Pleasant, IA 52641
Phone (319) 385-0733

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1669865762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412017",
            "telephone_number": "319-385-0733",
            "fax_number": "319-385-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412017",
            "telephone_number": "319-385-0733",
            "fax_number": "319-385-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEEL BLUE, LLC",
        "enumeration_date": "2015-03-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "319-321-3236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1511",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216975",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.