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
Fax: (831) 373-3705
Website:
Authorized official contact:
Name: Gordon, Dana PHARMD

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942393376 NPPES
Other 2003588 PK
MEDICAID PHA373970 PK

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