Provider Demographics
NPI:1093303612
Name:LAPCZYNSKI, JESSICA (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:LAPCZYNSKI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 E FIRTH ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1755
Mailing Address - Country:US
Mailing Address - Phone:908-247-6186
Mailing Address - Fax:
Practice Address - Street 1:701 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:CROYDON
Practice Address - State:PA
Practice Address - Zip Code:19021-5495
Practice Address - Country:US
Practice Address - Phone:215-785-3537
Practice Address - Fax:215-781-9995
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP453849OtherPA PHARMACIST LICENSE
PARPI013331OtherPA LICENSE TO ADMINISTER INJECTABLES