Provider Demographics
NPI:1982195376
Name:CAPPA, ROBERT S (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:CAPPA
Suffix:
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 1:10 CROTON LAKE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-1302
Mailing Address - Country:US
Mailing Address - Phone:914-334-5060
Mailing Address - Fax:
Practice Address - Street 1:6 FISHER AVE
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-2604
Practice Address - Country:US
Practice Address - Phone:914-339-0099
Practice Address - Fax:914-206-4381
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI039753-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist