Active NPI
Capsule Philadelphia LLC
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1962048678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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 18, 2019
- Organization subpart
- Yes
- Parent organization
- CAPSULE CORPORATION
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 Member
- Phone
- (888) 685-9515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
117 S 20TH St
Philadelphia, PA 19103-4606
Mailing address
122 W 146TH St
New York, NY 10039-3802
Phone (888) 685-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037763620001 | Medicaid | PA |
Other names 1
- Capsule Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Capsule Pharmacy
- Part of
- Capsule Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1669073375
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1295528545
-
- Pharmacist
- Philadelphia, PA
- NPI 1144814088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666915200000",
"number": "1962048678",
"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": "2019-11-18",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A",
"authorized_official_last_name": "KINARIWALA",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SOLE MEMBER",
"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"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.