Provider Demographics
NPI:1366263824
Name:KAPOOR, RAHUL (RPH)
Entity type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 KEELSON STREET
Mailing Address - Street 2:
Mailing Address - City:WELLAND
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L3B0M6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1030 PINE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1810
Practice Address - Country:US
Practice Address - Phone:716-285-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI-072038183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist