Active NPI
Jolanta Skrzypczyk, RPH
- Pharmacist
- Brewster, NY
National Provider Identifier
1811480932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046205
- Practice address
- 1511 Route 22
Brewster, NY 10509-4020 - Phone
- (845) 940-0565
- NPI assigned
- Jun 13, 2018
- Last updated
- Apr 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0010215 | CT | |
| Pharmacist | 183500000X | 046205 | NY | Primary |
Addresses
Primary practice location
1511 Route 22
Brewster, NY 10509-4020
Mailing address
1511 Route 22
Brewster, NY 10509-4020
Phone (845) 940-0565
Other practice location 1
180 Danbury Rd
New Milford, CT 06776-4328
Phone (860) 355-3763
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0010215 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients | |
| Stop and Shop Supermarket Co LLC | 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.
-
dba Stop & Shop Pharmacy 2818
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
-
dba Stop and Shop Pharmacy #683
- Community/Retail Pharmacy
- New Milford, CT
- NPI 1154353019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1811480932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094020",
"telephone_number": "845-940-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 ROUTE 22",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094020",
"telephone_number": "845-940-0565"
}
],
"practiceLocations": [
{
"address_1": "180 Danbury Rd",
"address_purpose": "LOCATION",
"city": "New Milford",
"state": "CT",
"postal_code": "067764328",
"country_code": "US",
"telephone_number": "860-355-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKRZYPCZYK",
"first_name": "JOLANTA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0010215",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.