Provider Demographics
NPI:1891307781
Name:KAPPOCK, JONATHAN M JR (RPH)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:M
Last Name:KAPPOCK
Suffix:JR
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 1:648 NW FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1033
Mailing Address - Country:US
Mailing Address - Phone:302-424-6300
Mailing Address - Fax:302-424-6308
Practice Address - Street 1:648 NW FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1033
Practice Address - Country:US
Practice Address - Phone:302-424-6300
Practice Address - Fax:302-424-6308
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0005448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist