Active NPI
Capsule Jacksonville LLC
- Community/Retail Pharmacy
- Jacksonville, FL
National Provider Identifier
1700920873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CAPSULE JACKSONVILLE LLC
- Practice address
- 834 Lomax St
Jacksonville, FL 32204-3902 - Phone
- (904) 353-7468
- Fax
- (904) 353-8663
- NPI assigned
- Feb 20, 2007
- Organization subpart
- Yes
- Parent organization
- JAX ACQUISITION CO LLC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
834 Lomax St
Jacksonville, FL 32204-3902
Mailing address
122 W 146TH St
New York, NY 10039-3802
Phone (888) 685-9515
Other names 1
- Capsule Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002728 | FL | DME Supplier - Pharmacy | 9739209545 | Practice locations: Jacksonville, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Capsule Jacksonville LLC | Immunosuppressive Drugs|Nebulizer Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
834 Lomax St
Jacksonville, FL 32204
Phone (904) 353-7468
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jacksonville, FL
- NPI 1801410261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1700920873",
"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": "834 LOMAX ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043902",
"telephone_number": "904-353-7468",
"fax_number": "904-353-8663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSULE JACKSONVILLE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAX ACQUISITION CO LLC",
"enumeration_date": "2007-02-20",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capsule Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
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.
- 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.