Individual provider Active NPI

Gary Kribel, PHARMD

  • Pharmacist
  • Portland, ME
National Provider Identifier
1720516982
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17415 Issued in AL
Practice address
510 Congress St
Portland, ME 04101-3416
Phone
(207) 774-4525
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17415 AL Primary

Addresses

Primary practice location

510 Congress St
Portland, ME 04101-3416

Mailing address

332 Main St
Cornish, ME 04020-3240
Phone (207) 852-3215

Other practice location 1

7076 Atlanta Hwy
Montgomery, AL 36117-4242
Phone (334) 290-4507

Other practice location 2

449 Forest Ave
Portland, ME 04101-2029
Phone (207) 772-1928

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
17415ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CVS State Capital LLC PastSince Dec 16, 2020 Accepting new patients
CVS State Capital LLC PastSince Dec 16, 2020 Accepting new patients
Publix Alabama LLC Past Accepting new patients
Publix Alabama, LLC Past Accepting new patients

Organizations & group practices 4

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1720516982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MAIN ST",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203240",
            "telephone_number": "207-852-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013416",
            "telephone_number": "207-774-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7076 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361174242",
            "country_code": "US",
            "telephone_number": "334-290-4507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "449 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012029",
            "country_code": "US",
            "telephone_number": "207-772-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIBEL",
        "first_name": "GARY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.