Active NPI
Jeehyun Cappola, RPH
- Pharmacist
- Long Island City, NY
National Provider Identifier
1386966521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045502
- Practice address
- 2726 Queens PLZ S
Long Island City, NY 11101-4102 - Phone
- (718) 269-7385
- Fax
- (718) 269-7386
- NPI assigned
- Feb 15, 2010
- Last updated
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045502 | NY | Primary |
Addresses
Primary practice location
2726 Queens PLZ S
Long Island City, NY 11101-4102
Mailing address
2726 Queens PLZ S
Long Island City, NY 11101-4102
Phone (718) 269-7385
Other practice location 1
1229 3rd Ave
New York, NY 10021-5105
Phone (212) 249-1050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045502 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Eveready Drugs LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2726 Queens Plz S
Long Island City, NY 11101
Phone (718) 269-7385
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prescriptions Exclusive
- Community/Retail Pharmacy
- New York, NY
- NPI 1306946876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1386966521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 QUEENS PLZ S",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014102",
"telephone_number": "718-269-7385",
"fax_number": "718-269-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 QUEENS PLZ S",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014102",
"telephone_number": "718-269-7385",
"fax_number": "718-269-7386"
}
],
"practiceLocations": [
{
"address_1": "1229 3rd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100215105",
"country_code": "US",
"telephone_number": "212-249-1050",
"fax_number": "212-794-1174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPOLA",
"first_name": "JEEHYUN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.