Justin Leo Kapke, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302412171 Issued in MI

Practice address

447 S Whittaker St
New Buffalo, MI 49117-1763

Phone

(844) 214-4446

Fax

(800) 886-1521

NPI assigned

Jan 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1962033076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171763",
            "telephone_number": "844-214-4446",
            "fax_number": "800-886-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171763",
            "telephone_number": "844-214-4446",
            "fax_number": "800-886-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPKE",
        "first_name": "JUSTIN",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315213917",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.302601",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Hoose
• Kylee Ann Howell, OTD, OTR
• Gene L Hwang, MD
• David P Kelsey, MD
• Elizabeth J Kickert, LCSW
• Leanna M Lenington, RN
• Kassidy Longenecker
• Matthew McGrath

• Pharmacist in New Buffalo, MI
• Providers in New Buffalo, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.