Provider Demographics
NPI:1568539872
Name:CAPUZZI, JAMES ERIC (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ERIC
Last Name:CAPUZZI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ZIA MARIA WAY
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3115
Mailing Address - Country:US
Mailing Address - Phone:724-626-9600
Mailing Address - Fax:724-626-9901
Practice Address - Street 1:309 LAUREL DR
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3872
Practice Address - Country:US
Practice Address - Phone:724-626-9600
Practice Address - Fax:724-626-9901
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041764L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3980655OtherNABP
PA1023425000001Medicaid
PA1770598310OtherSTORE NPI
PAPP481126LOtherPHARMACY PERMIT
PAPP481126LOtherPHARMACY PERMIT