Provider Demographics
NPI:1952655011
Name:KAPADIA, DEEPA B (RPH)
Entity Type:Individual
Prefix:
First Name:DEEPA
Middle Name:B
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12422 SCHOONER BEACH DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-5123
Mailing Address - Country:US
Mailing Address - Phone:661-664-1239
Mailing Address - Fax:
Practice Address - Street 1:3409 CALLOWAY DR
Practice Address - Street 2:STE. 602
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2528
Practice Address - Country:US
Practice Address - Phone:661-589-7979
Practice Address - Fax:661-589-7222
Is Sole Proprietor?:No
Enumeration Date:2012-10-28
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 56914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist