Patryk Stryjewski – Pharmacist in Bethel, CT

Key facts

NPI: 1013650258
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: PCT.0015384 (CT)
Practice address: 1 Roberts Dr
Bethel, CT 06801-1625
Phone: (203) 461-4562
NPI assigned: Apr 15, 2022
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PCT.0015384	CT	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	PCT.0015384	CT	Yes

Addresses

Primary practice location

1 Roberts Dr
Bethel, CT 06801-1625

Mailing address

1 Roberts Dr
Bethel, CT 06801-1625

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2022.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1013650258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERTS DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERTS DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011625",
            "telephone_number": "203-461-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYJEWSKI",
        "first_name": "PATRYK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0015384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

All providers in Bethel, CT · Pharmacist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.