Individual provider Active NPI

Peter Edwin Przybylski, PHARMACIST

  • Pharmacist
  • Seymour, CT
National Provider Identifier
1902265960
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5464 Issued in CT
Practice address
37 New Haven Rd
Seymour, CT 06483-3460
Phone
(203) 888-0073
Fax
(203) 888-2932
NPI assigned
Feb 18, 2016
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 5464 CT Primary

Addresses

Primary practice location

37 New Haven Rd
Seymour, CT 06483-3460

Mailing address

37 New Haven Rd
Seymour, CT 06483-3460
Phone (203) 888-0073

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sybridgepharmacy@snet.net
Direct Messaging Address seybridgepharmacy@snet.net Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seybridge Pharmacy Inc CurrentSince Jul 24, 2022 Accepting new patients
Seybridge Pharmacy Inc Current Accepting new patients

Locations

39 New Haven Rd
Seymour, CT 06483
Phone (203) 888-0073

Interoperability endpoints

  • Direct secure messaging: sybridgepharmacy@snet.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1902265960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NEW HAVEN RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833460",
            "telephone_number": "203-888-0073",
            "fax_number": "203-888-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NEW HAVEN RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833460",
            "telephone_number": "203-888-0073",
            "fax_number": "203-888-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLSKI",
        "first_name": "PETER",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sybridgepharmacy@snet.net",
            "affiliation": "N",
            "address_1": "37 New Haven Rd",
            "city": "Seymour",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064833460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seybridgepharmacy@snet.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "37 New Haven Rd",
            "city": "Seymour",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064833460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

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