Active NPI
Mary D Cappabianco, BS, PHARM D
- Pharmacist
- Norman, OK
National Provider Identifier
1356489199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12676
- Practice address
- 4028 Nicole PL
Norman, OK 73072-1758 - Phone
- (405) 360-3793
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12676 | OK | Primary |
| Pharmacist | 183500000X | 44142 | TX |
Addresses
Primary practice location
4028 Nicole PL
Norman, OK 73072-1758
Mailing address
4028 Nicole PL
Norman, OK 73072-1758
Phone (405) 360-3793
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12676 | OK | MD | Pharmacist |
| 44142 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1356489199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4028 NICOLE PL",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721758",
"telephone_number": "405-360-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4028 NICOLE PL",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721758",
"telephone_number": "405-360-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPABIANCO",
"first_name": "MARY",
"middle_name": "D",
"credential": "BS, PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "12676",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.