Active NPI
Capital Pharmacy, LLC
- Long Term Care Pharmacy
- Austin, TX
National Provider Identifier
1740568666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 27555
- Legal business name
- CAPITAL PHARMACY, LLC
- Practice address
- 1340 Airport Commerce Dr
BLDG. 3 Ste 350
Austin, TX 78741 - Phone
- (512) 628-8877
- Fax
- (512) 628-8878
- NPI assigned
- Jul 26, 2011
- Organization subpart
- Yes
- Parent organization
- PHARMACY CORPORATION OF AMERICA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas A. Caneris
- Title
- Vice President
- Phone
- (502) 627-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 27555 | TX | Primary |
Addresses
Primary practice location
1340 Airport Commerce Dr
BLDG. 3 Ste 350
Austin, TX 78741
Mailing address
1340 Airport Commerce Dr
BLDG. 3 Ste 350
Austin, TX 78741
Phone (512) 628-8877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903756 | Other | TX | NCPDP |
| 22115 | Medicaid | TX | |
| 2131399 | Other | PK |
Other names 1
- Capital Pharmacy, LLC
National Provider Directory
National Provider Directory- Part of
- Beverly Enterrises
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1740568666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 AIRPORT COMMERCE DR",
"address_2": "BLDG. 3 STE 350",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78741",
"telephone_number": "512-628-8877",
"fax_number": "512-628-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 AIRPORT COMMERCE DR",
"address_2": "BLDG. 3 STE 350",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78741",
"telephone_number": "512-628-8877",
"fax_number": "512-628-8878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL PHARMACY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMACY CORPORATION OF AMERICA",
"enumeration_date": "2011-07-26",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "CANERIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-627-7100"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "27555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5903756",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22115",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131399",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital Pharmacy, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.