Organization Active NPI

Capsule Jacksonville LLC

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1700920873
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 LLCAs 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
Eric Kinariwala
Title
Sole Manager
Phone
(888) 685-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002728 FL DME Supplier - Pharmacy 9739209545 Practice locations: Jacksonville, FL

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
Capsule Jacksonville LLC834 Lomax St, Jacksonville, FL 32204-3902(904) 353-7468 Immunosuppressive Drugs|Nebulizer Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.