Provider Demographics
NPI:1881931822
Name:CAPPELLA, KITTANN (RPH)
Entity type:Individual
Prefix:MS
First Name:KITTANN
Middle Name:
Last Name:CAPPELLA
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 1:5500 MILITARY TRL
Mailing Address - Street 2:SUITE 25
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2869
Mailing Address - Country:US
Mailing Address - Phone:561-799-3190
Mailing Address - Fax:561-799-6159
Practice Address - Street 1:5500 MILITARY TRL
Practice Address - Street 2:SUITE 25
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2869
Practice Address - Country:US
Practice Address - Phone:561-799-3190
Practice Address - Fax:561-799-6159
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist