Provider Demographics
NPI:1629395462
Name:CAPUANO, ADAM ROCCO (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ROCCO
Last Name:CAPUANO
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W 12TH ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-6021
Mailing Address - Country:US
Mailing Address - Phone:917-754-1432
Mailing Address - Fax:
Practice Address - Street 1:270 W 12TH ST APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-6021
Practice Address - Country:US
Practice Address - Phone:917-754-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29RI02863900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist