Central Ave Pharmacy
LBN: Cap Rx Inc
Central Ave Pharmacy is an health care organization with primary practice located at 133 15Th St , Pacific Grove CA 93950-2746. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cap Rx Inc can be contacted via phone (831) 373-1225, or through Gordon, Dana via phone (831) 373-1225.
Contact Information
Primary practice address
133 15Th St
Pacific Grove CA 93950-2746
Phone: (831) 373-1225
Fax: (831) 373-3705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY37397 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1942393376 |
|---|---|
| LBN Legal business name | Cap Rx Inc |
| DBA Doing business as | Central Ave Pharmacy |
| Authorized official | Gordon, Dana PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Feb 3rd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942393376 | NPPES |
| Other | 2003588 | PK | |
| MEDICAID | PHA373970 | PK |
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