Active NPI
Cap RX LTC Inc
- Long Term Care Pharmacy
- Pacific Grove, CA
National Provider Identifier
1992240998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY55297
- Legal business name
- CAP RX LTC INC
- Practice address
- 507 Central Ave Ste C
Pacific Grove, CA 93950-2704 - Phone
- (831) 324-6800
- Fax
- (831) 643-9645
- NPI assigned
- Dec 29, 2016
- 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
- Dana Gordon, PHARMD
- Title
- President
- Phone
- (831) 324-6800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PHY55297 | CA | Primary |
Addresses
Primary practice location
507 Central Ave Ste C
Pacific Grove, CA 93950-2704
Mailing address
507 Central Ave
Ste. C
Pacific Grove, CA 93950-2704
Phone (831) 324-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167454 | Other | PK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1992240998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 CENTRAL AVE",
"address_2": "STE. C",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502704",
"telephone_number": "831-324-6800",
"fax_number": "831-643-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 CENTRAL AVE STE C",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502704",
"telephone_number": "831-324-6800",
"fax_number": "831-643-9645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAP RX LTC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-29",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-324-6800",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY55297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167454",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.