Active NPI
Austin Arthur Bebyn
- Pharmacist
- Bethel, CT
National Provider Identifier
1821508656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6681
- Practice address
- 81 Stony Hill Road
Big Y Pharmacy
Bethel, CT 00680 - Phone
- (203) 791-9820
- Fax
- (855) 768-0828
- NPI assigned
- Oct 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH26287 | MA | |
| Pharmacist | 183500000X | 6681 | CT | Primary |
Addresses
Primary practice location
81 Stony Hill Road
Big Y Pharmacy
Bethel, CT 00680
Mailing address
1298 Hartford Tpke Apt 1E
North Haven, CT 06473-2176
Phone (203) 809-2204
Other practice location 1
355 Hawley Ln
Stratford, CT 06614-1514
Phone (203) 386-1489
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 |
|---|---|---|---|
| PH26287 | MA | MD | Pharmacist |
| 6681 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Y Foods, Inc. | Past | Accepting new patients | |
| Big Y Foods, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821508656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 HARTFORD TPKE APT 1E",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732176",
"telephone_number": "203-809-2204",
"fax_number": "855-768-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 STONY HILL ROAD",
"address_2": "BIG Y PHARMACY",
"city": "BETHEL",
"state": "CT",
"postal_code": "00680",
"telephone_number": "203-791-9820",
"fax_number": "855-768-0828"
}
],
"practiceLocations": [
{
"address_1": "355 Hawley Ln",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "CT",
"postal_code": "066141514",
"country_code": "US",
"telephone_number": "203-386-1489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEBYN",
"first_name": "AUSTIN",
"middle_name": "ARTHUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH26287",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "6681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.