Active NPI
Capps Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Burkesville, KY
National Provider Identifier
1962402263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P07024
- Legal business name
- CAPPS PHARMACY INC
- Practice address
- 331 Keen Street
Burkesville, KY 42717 - Phone
- (270) 864-1606
- Fax
- (270) 864-1608
- NPI assigned
- Jul 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Anthony Capps, RPH.
- Title
- Owner
- Phone
- (270) 864-1606
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07024 | KY | Primary |
Addresses
Primary practice location
331 Keen Street
Burkesville, KY 42717
Mailing address
331 Keen Street
PO Box 157
Burkesville, KY 42717
Phone (270) 864-1606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54033154 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Capps Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Burkesville, KY
- NPI 1891851002
Locations
331 Keen St
Burkesville, KY 42717
Phone (270) 864-1606
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
- Burkesville, KY
- NPI 1417013921
-
- Pharmacist
- Burkesville, KY
- NPI 1417013913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1962402263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 KEEN STREET",
"address_2": "PO BOX 157",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "42717",
"telephone_number": "270-864-1606",
"fax_number": "270-864-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 KEEN STREET",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "42717",
"telephone_number": "270-864-1606",
"fax_number": "270-864-1608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPPS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "CAPPS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-864-1606",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P07024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54033154",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burkesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.