OrganizationActive
Grand Canyon Acquisition Co LLC
NPI 1255946562 · Community/Retail Pharmacy · Phoenix, AZ
Grand Canyon Acquisition Co LLC is a Community/Retail Pharmacy organization in Phoenix, AZ (NPI 1255946562).
Provider details
- NPI number
- 1255946562
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Capsule Corporation
- Organization subpart
- Yes
- Authorized official
- Eric Kinariwala, Sole Manager(888) 685-9515
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 E Camelback Rd Ste 112
Phoenix, AZ 85012-1061
Phone: (602) 584-5158
Fax: (646) 934-6409
Street-level locationGet directions
Mailing address
122 W 146th St
New York, NY 10039-3802
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Frequently asked questions
- What is Grand Canyon Acquisition Co LLC's NPI number?
- Grand Canyon Acquisition Co LLC's National Provider Identifier (NPI) is 1255946562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Canyon Acquisition Co LLC?
- Grand Canyon Acquisition Co LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Grand Canyon Acquisition Co LLC located?
- Grand Canyon Acquisition Co LLC's practice location on file with NPPES is 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061.
- What is Grand Canyon Acquisition Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Canyon Acquisition Co LLC is (602) 584-5158.
- Who is the authorized official for Grand Canyon Acquisition Co LLC?
- The authorized official listed on Grand Canyon Acquisition Co LLC's NPPES record is Eric Kinariwala, Sole Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Canyon Acquisition Co LLC's NPI active?
- Yes — Grand Canyon Acquisition Co LLC's NPI (1255946562) is active in the NPPES registry as of the last update on 2022-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.