Active NPI
Siby Sebastian, B.PHARM
- Pharmacist
- Milford, CT
National Provider Identifier
1538455100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0011204
- Practice address
- 1387 New Haven Ave
Milford, CT 06460-8159 - Phone
- (203) 874-0845
- NPI assigned
- Jun 22, 2011
- Last updated
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0011204 | CT | Primary |
Addresses
Primary practice location
1387 New Haven Ave
Milford, CT 06460-8159
Mailing address
14 Newtown Rd
Apt a 14
Danbury, CT 06810-6256
Phone (203) 297-3483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0011204 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past | Accepting new patients | |
| Maxi Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1538455100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 NEWTOWN RD",
"address_2": "APT A 14",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106256",
"telephone_number": "203-297-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 NEW HAVEN AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608159",
"telephone_number": "203-874-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "SIBY",
"name_prefix": "Mr.",
"credential": "B.PHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.