Individual provider Active NPI

John Robert Cappellano, PHARMD

  • Pharmacist
  • Teaticket, MA
National Provider Identifier
1831785021
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH233225 Issued in MA
Practice address
20 Teaticket Hwy
Teaticket, MA 02536-5615
Phone
(508) 540-4711
Fax
(844) 411-6770
NPI assigned
Dec 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH233225 MA Primary

Addresses

Primary practice location

20 Teaticket Hwy
Teaticket, MA 02536-5615

Mailing address

20 Teaticket Hwy
Teaticket, MA 02536-5615
Phone (508) 540-4711

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
PH233225MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company, LLC PastSince Dec 16, 2020 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 2

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": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1831785021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025365615",
            "telephone_number": "508-540-4711",
            "fax_number": "844-411-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TEATICKET HWY",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025365615",
            "telephone_number": "508-540-4711",
            "fax_number": "844-411-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPELLANO",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH233225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaticket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.