Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Red Cap Pharmacy 001 LLC

Organization Pharmacy · NPI 1619410321

Red Cap Pharmacy 001 LLC is a Pharmacy in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

214 N West Ave Ste A
Jackson, MI 49201-1903
Phone: (517) 879-4877
Fax: (517) 879-1873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301011054 (MI)
Pharmacy Taxonomy 333600000X

Record details

NPI number1619410321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamad Aboukhodr — Owner · (517) 879-4877
Other names Red Cap Pharmacy 001; Red Cap Pharmacy 001
NPI enumeratedNovember 29, 2016
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address214 N. West Ave Ste A, Jackson, MI 49201

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