Provider Demographics
NPI:1770857757
Name:KAPEESHWAR LLC
Entity Type:Organization
Organization Name:KAPEESHWAR LLC
Other - Org Name:HOMETOWN DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-450-1970
Mailing Address - Street 1:16819 S DUPONT HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-3192
Mailing Address - Country:US
Mailing Address - Phone:302-450-1970
Mailing Address - Fax:302-450-1971
Practice Address - Street 1:16819 S DUPONT HWY STE 600
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952-3192
Practice Address - Country:US
Practice Address - Phone:302-450-1970
Practice Address - Fax:302-450-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA3-00009323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135233OtherPK
2135233OtherPK