Joseph Canepa

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

47151 Issued in CA

Practice address

602 Scenic Dr
Modesto, CA 95350-6128

Phone

(209) 552-7600

Fax

(209) 552-7638

NPI assigned

Oct 19, 2022

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2022.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1750007852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506128",
            "telephone_number": "209-552-7600",
            "fax_number": "209-552-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506128",
            "telephone_number": "209-552-7600",
            "fax_number": "209-552-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEPA",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "47151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Vanessa Canales
• Pauline Mangoba Canas, RN
• Tania Cancino
• Alma Candelario, B.A.
• Mariela Candido-Hernandez
• Samantha Catherine Canha
• Jeff Senor Cania, BI
• Monique Antoinette Cannady
• Paula Lynn Cannistraci, PHARM.D.
• Mia Lie Cannon

• All providers in Modesto, CA
• Geriatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.