MEDICARE: DENISE CASAPULLA RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS34761	FL
2	183500000X	Pharmacist	PH5147	HI
3	183500000X	Pharmacist	28RI02306600	NJ

General Provider Information

NPI Number	:	1871476150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE CASAPULLA RPH

Provider Business Mailing Address
First Line	:	26 CAMERON AVE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-2005
Country	:	US
Telephone Number	:	973-356-8776
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 W MOUNT PLEASANT AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-2761
Country	:	US
Telephone Number	:	973-564-8004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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