Capsule Portland LLC
Pharmacy (Community/Retail Pharmacy)

Address: 416 Nw 12th Ave, Portland, OR 97209-2907
Phone: 5034835353

Capsule Portland LLC (NPI# 1578184909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578184909
Entity Type Organization
Practice Address 416 Nw 12th Ave
OR 97209-2907
Practice Telephone 5034835353
Practice Fax Number 6469346409
Mailing Address 255 Greenwich St Fl 4
New York
NY 10007-5506
Mailing Telephone 8886859515
Mailing Fax Number 6469346409
Authorized Official Name Eric Kinariwala (SOLE MEMBER)
Authorized Official Telephone 8886859515
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name CAPSULE CORPORATION
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1508337577 Oregon Health & Science University Pharmacy 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 2018-12-17
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1538653654 Division Pharmacy Inc. Pharmacy 10918 Se Division St, Portland, OR 97266-1259 2018-06-21
1659755593 Portland Professional Pharmacy, LLC Pharmacy 11717 Ne Glisan St, Portland, OR 97220-2141 2015-07-09
1992194062 Professionl Pharmacy Pharmacy 10000 Se Main St Ste 201, Portland, OR 97216-2448 2015-01-13
1932597978 Pharmaca Integrative Pharmacy, Inc Pharmacy 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 2014-12-29
1023414588 Healthscripts of America - Portland, LLC Pharmacy 10305 Sw Parkway, Portland, OR 97225-5011 2014-11-11
1942611504 Portland Drug LLC Pharmacy 105 Hwy 65 South, Portland, AR 71663-0000 2014-05-16
1699104372 Powell Pharmacy, LLC Pharmacy 11050 Se Powell Blvd Ste 375, Portland, OR 97266-1863 2013-11-04
Find all providers in PORTLAND

Office Location

Street Address 416 NW 12TH AVE
State OR
Zip Code 97209-2907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
1699141424 Marena Passarelli Counselor 1977 Nw Overton St Ste D, Portland, OR 97209 2015-08-16
1740684448 Samantha Black Counselor 310 Ne Flanders, Portland, OR 97209 2014-10-09
Find all providers in zip 97209


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Zip Code 97209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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