Provider Demographics
NPI:1821547084
Name:KAPADIA, AMISH (PHARM D)
Entity Type:Individual
Prefix:
First Name:AMISH
Middle Name:
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1108
Mailing Address - Country:US
Mailing Address - Phone:847-946-1015
Mailing Address - Fax:
Practice Address - Street 1:9809 N 56TH ST
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-1108
Practice Address - Country:US
Practice Address - Phone:847-946-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290020183500000X
AZS021813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051.290020OtherREGISTERED PHARMACIST
AZS021813OtherPHARMACIST