Provider Demographics
NPI:1114202363
Name:KAPINOS, CHRISTINE URSULA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:URSULA
Last Name:KAPINOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 CENTER GROVE RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1325
Mailing Address - Country:US
Mailing Address - Phone:973-442-7985
Mailing Address - Fax:973-442-1697
Practice Address - Street 1:148 CENTER GROVE RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1325
Practice Address - Country:US
Practice Address - Phone:973-442-7985
Practice Address - Fax:973-442-1697
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02004600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist