Provider Demographics
NPI:1881697308
Name:CAPONE, JAMES R (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:CAPONE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3627 WHISPERING WOODS TER
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-8307
Mailing Address - Country:US
Mailing Address - Phone:315-458-2322
Mailing Address - Fax:315-458-2380
Practice Address - Street 1:5701 E CIRCLE DR
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-8638
Practice Address - Country:US
Practice Address - Phone:315-458-2322
Practice Address - Fax:315-458-2380
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY047603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02405787Medicaid