Provider Demographics
NPI:1033647755
Name:CAPUANO, ALYSSA EMILY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:EMILY
Last Name:CAPUANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 CHAPMAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4539
Mailing Address - Country:US
Mailing Address - Phone:401-444-9934
Mailing Address - Fax:401-444-7870
Practice Address - Street 1:2 BETSY DR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-4552
Practice Address - Country:US
Practice Address - Phone:401-525-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH060101835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care