Provider Demographics
NPI:1124621461
Name:KAPILOFF, CINDY LYNN
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LYNN
Last Name:KAPILOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BARNEGAT BLVD N UNIT 602
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-2536
Mailing Address - Country:US
Mailing Address - Phone:609-489-4391
Mailing Address - Fax:
Practice Address - Street 1:452 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WARETOWN
Practice Address - State:NJ
Practice Address - Zip Code:08758-1710
Practice Address - Country:US
Practice Address - Phone:609-693-6030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02614400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist