Active NPI
Gary Kribel, PHARMD
- Pharmacist
- Portland, ME
National Provider Identifier
1720516982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17415
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17415 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS State Capital LLC | Past | Accepting new patients | |
| CVS State Capital LLC | Past | 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.
-
- Pharmacy
- Auburn, ME
- NPI 1164140398
-
- Pharmacy
- Portland, ME
- NPI 1881798700
-
- Community/Retail Pharmacy
- Montgomery, AL
- NPI 1205876638
-
- Community/Retail Pharmacy
- Foley, AL
- NPI 1326856592
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.