Healthcare Provider Details

I. General information

NPI: 1104458843
Provider Name (Legal Business Name): CAP RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 15TH ST
PACIFIC GROVE CA
93950-2746
US

IV. Provider business mailing address

133 15TH ST
PACIFIC GROVE CA
93950-2746
US

V. Phone/Fax

Practice location:
  • Phone: 831-373-1225
  • Fax:
Mailing address:
  • Phone: 831-373-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANA J GORDON
Title or Position: CEO/PRESIDENT
Credential: PHARMD
Phone: 831-373-1225