Individual provider Active NPI

Joseph Julius Kapanek IV, PHARM D

  • Pharmacist
  • Cheektowaga, NY
National Provider Identifier
1780930859
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
056995 Issued in NY
Practice address
100 Thruway Plaza Dr
Cheektowaga, NY 14225-4940
Phone
(716) 896-3708
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056995 NY Primary

Addresses

Primary practice location

100 Thruway Plaza Dr
Cheektowaga, NY 14225-4940

Mailing address

100 Thruway Plaza Dr
Cheektowaga, NY 14225-4940

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
056995NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1780930859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THRUWAY PLAZA DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THRUWAY PLAZA DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254940",
            "telephone_number": "716-896-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPANEK",
        "first_name": "JOSEPH",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.