Provider Demographics
NPI:1760705636
Name:CAPONETTO, JOHN A (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:CAPONETTO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 FOXWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1129
Mailing Address - Country:US
Mailing Address - Phone:914-864-2673
Mailing Address - Fax:914-864-2673
Practice Address - Street 1:1230 NEPPERHAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1413
Practice Address - Country:US
Practice Address - Phone:914-969-7944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035314-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist