Individual provider Active NPI

Thomas Przybyl, RPH

  • Pharmacist
  • Falmouth, ME
National Provider Identifier
1477137008
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR4379 Issued in ME
Practice address
12 Northbrook Dr Ste 1
Falmouth, ME 04105-1475
Phone
(207) 781-0028
Fax
(207) 781-0031
NPI assigned
May 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R2720 NH
Pharmacist 183500000X PH237272 MA
Pharmacist 183500000X PCT.0014665 CT
Pharmacist 183500000X PR4379 ME Primary

Addresses

Primary practice location

12 Northbrook Dr Ste 1
Falmouth, ME 04105-1475

Mailing address

12 Northbrook Dr Ste 1
Falmouth, ME 04105-1475
Phone (207) 781-0028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.przybyl@coramhc.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0014665CTMDPharmacist
PH237272MAMDPharmacist
PR4379MEMDPharmacist
R2720NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coram Alternate Site Services, Inc. PastSince May 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1477137008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTHBROOK DR STE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051475",
            "telephone_number": "207-781-0028",
            "fax_number": "207-781-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORTHBROOK DR STE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051475",
            "telephone_number": "207-781-0028",
            "fax_number": "207-781-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYL",
        "first_name": "THOMAS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2720",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH237272",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014665",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.przybyl@coramhc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "12 Northbrook Dr Ste 1",
            "city": "Falmouth",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041051475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.