Provider Demographics
NPI:1063139889
Name:CAPECE, KRISTIN (PHARMD, BCGP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:CAPECE
Suffix:
Gender:F
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 LEHIGH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4791
Mailing Address - Country:US
Mailing Address - Phone:484-443-6337
Mailing Address - Fax:
Practice Address - Street 1:1471 LEHIGH ST UNIT 28
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3811
Practice Address - Country:US
Practice Address - Phone:484-443-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI037580001835P0018X
PARP4482721835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist