Provider Demographics
NPI:1740826726
Name:CAPECCI, KAREN ANNE (RPH)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANNE
Last Name:CAPECCI
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 1:8898 S 100 W
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:IN
Mailing Address - Zip Code:47981
Mailing Address - Country:US
Mailing Address - Phone:765-414-2560
Mailing Address - Fax:
Practice Address - Street 1:1440 DARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-2007
Practice Address - Country:US
Practice Address - Phone:765-362-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017582A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist