DR. KAM L CAPOCCIA (NPI# 1760427405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760427405 |
| Entity Type | Individual |
| Full Name | DR. KAM L CAPOCCIA |
| Credential | PHARMD |
| Practice Address |
4245 Roosevelt Way Ne Box 354770 Seattle WA 98105-6008 |
| Mailing Address |
22910 83rd Pl W Edmonds WA 98026-8423 |
| Practice Telephone | 2065985718 |
| Practice Fax Number | 2065985720 |
| Mailing Telephone | 2064780991 |
| Mailing Fax Number | 2065433835 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH00042681 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEA | MC0740882 | 01 |
| Street Address |
4245 ROOSEVELT WAY NE BOX 354770 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246731 | James Heath Miller | Obstetrics & Gynecology | 4245 Roosevelt Way Ne, Seattle, WA 98105 | 2005-09-22 |
| 1518447341 | Alia Paget | Social Worker | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2018-08-21 |
| 1033615380 | Allen Sy | Student in an Organized Health Care Education/Training Program | 4245 Roosevelt Way Ne, Seattle, WA 98105 | 2018-04-04 |
| 1144735820 | Abigail Mary Winter | Pharmacist | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2017-12-04 |
| 1114455888 | Jennifer Stambaugh | Physician Assistant | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2017-05-25 |
| 1831646983 | Ian Macniven | Orthopaedic Surgery | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2016-09-07 |
| 1225491194 | Sarah Steinkruger | Internal Medicine | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2016-03-30 |
| 1487027389 | Laura Desenfants | Physician Assistant | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-11-02 |
| 1316329691 | Caitlin Marra | Physical Therapy Assistant | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-06-23 |
| 1497136907 | Abhiram R Bhashyam | Orthopaedic Surgery | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295858934 | Jeffrey B Purcell | Pharmacist | 325 9th Ave Box 359885, Seattle, WA 98104-2499 | 2007-04-09 |
| 1780762450 | Peter Q Huynh | Pharmacist | 1959 Ne Pacific Ave, Pharmacy Dept, University of Washington Medical Center, Seattle, WA 98195 | 2006-11-01 |
| 1083719322 | Peggy S Odegard | Pharmacist | 1959 Ne Pacific St # 357630, Seattle, WA 98195-0001 | 2006-09-13 |
| 1588629588 | Nancy N Chang | Pharmacist | Seattle Cancer Care Alliance, 825 Eastlake Ave. E, Seattle, WA 98109 | 2006-04-20 |
| 1457329013 | Elaine S Pappas | Pharmacist | 206 3rd Ave S, Pioneer Square Clinic Pharmacy, Seattle, WA 98104-2697 | 2006-03-09 |
| 1790767671 | Don Gruntowicz | Pharmacist | 3101 Western Ave Ste 100, Genelex Corporation, Seattle, WA 98121-3017 | 2005-11-16 |
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1073175543 | Hend Al Barry | Pharmacist | 5300 Tallman Ave Nw, Seattle, WA 98107 | 2019-07-03 |
| 1982190534 | Virginia Yu | Pharmacist | 747 Broadway, Seattle, WA 98122-4379 | 2018-07-06 |
| 1750807756 | Paul Cornelison | Pharmacist | 1660 S Columbian Way # 119, Seattle, WA 98108-1532 | 2017-08-21 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.