Organization Active NPI

Cap RX LTC Inc

  • Long Term Care Pharmacy
  • Pacific Grove, CA
National Provider Identifier
1992240998
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY55297 Issued in CA
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

Updated by the provider on Feb 20, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2167454OtherPK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.