Paige M Kapp, PHARMD, BCPS

Individual provider Active NPI Pharmacist · Ignacio, CO

NPI 1295047330 · NPPES record last updated May 9, 2014

Key facts

NPI
1295047330
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
014955 (KY)
Practice address
123 Weeminuche
Ignacio, CO 81137-0899
Phone
(970) 563-4781
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19245COMDPharmacist
014955KYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014955 KY Yes
Pharmacist 183500000X 19245 CO

Addresses

Primary practice location

123 Weeminuche
Ignacio, CO 81137-0899

Mailing address

123 Weeminuche
Ignacio, CO 81137-0899
Phone (970) 563-4781

Other providers in Ignacio, CO

All providers in Ignacio, CO · Pharmacist in Colorado

Sources for this page

Verify at the official NPI Registry.