Individual provider Active NPI

Kyle Rybicki, PHARMD

  • Pharmacist
  • Lancaster, OH
National Provider Identifier
1700513371
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03442348 Issued in OH
Practice address
1394 Ety Shops Way NW
Lancaster, OH 43130-7768
Phone
(740) 654-5219
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03442348 OH Primary

Addresses

Primary practice location

1394 Ety Shops Way NW
Lancaster, OH 43130-7768

Mailing address

1394 Ety Shops Way NW
Lancaster, OH 43130-7768
Phone (740) 654-5219

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03442348OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tamarkin Company PastSince Aug 7, 2022 Accepting new patients
The Tamarkin Company PastSince Aug 7, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1700513371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 ETY SHOPS WAY NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307768",
            "telephone_number": "740-654-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 ETY SHOPS WAY NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307768",
            "telephone_number": "740-654-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBICKI",
        "first_name": "KYLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03442348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.