Provider Demographics
NPI:1184045817
Name:KAPPES, MEGAN (RPH)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:KAPPES
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 1:4990 HOUSTON RD
Mailing Address - Street 2:MEIJER PHARMACY #151
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4851
Mailing Address - Country:US
Mailing Address - Phone:616-401-3606
Mailing Address - Fax:
Practice Address - Street 1:4990 HOUSTON RD
Practice Address - Street 2:MEIJER PHARMACY #151
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4851
Practice Address - Country:US
Practice Address - Phone:616-401-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-24
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0118221835P0018X
OH031301091835P0018X
IN26024355A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist