Active NPI
Jonathan M Kappock Jr., RPH
- Pharmacist
- Milford, DE
National Provider Identifier
1891307781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0005448
- Practice address
- 648 NW Front St
Milford, DE 19963-1033 - Phone
- (302) 424-6300
- Fax
- (302) 424-6308
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- Sex
- Male
- 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 | A1-0005448 | DE | Primary |
Addresses
Primary practice location
648 NW Front St
Milford, DE 19963-1033
Mailing address
648 NW Front St
Milford, DE 19963-1033
Phone (302) 424-6300
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 |
|---|---|---|---|
| A1-0005448 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
648 NW Front St
Milford, DE 19963
Phone (302) 422-6300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1891307781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 NW FRONT ST",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631033",
"telephone_number": "302-424-6300",
"fax_number": "302-424-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 NW FRONT ST",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631033",
"telephone_number": "302-424-6300",
"fax_number": "302-424-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPOCK",
"first_name": "JONATHAN",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.