Individual provider Active NPI

Richard A Caporello, RPH

  • Pharmacist
  • Kingston, TN
National Provider Identifier
1306116819
Registry record updated Jan 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35974 Issued in TN
Practice address
106 W Race St
Kingston, TN 37763-2721
Phone
(865) 376-5263
Fax
(865) 376-3852
NPI assigned
Jan 1, 2012
Last updated
Jan 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35974 TN Primary
Pharmacist 183500000X 28RI01710800 NJ
Pharmacist 183500000X 50926 TX

Addresses

Primary practice location

106 W Race St
Kingston, TN 37763-2721

Mailing address

106 W Race St
Kingston, TN 37763-2721
Phone (865) 376-5263

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01710800NJMDPharmacist
35974TNMDPharmacist
50926TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325376000000",
    "number": "1306116819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632721",
            "telephone_number": "865-376-5263",
            "fax_number": "865-376-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632721",
            "telephone_number": "865-376-5263",
            "fax_number": "865-376-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPORELLO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-01",
        "last_updated": "2012-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "35974",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01710800",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.