Individual provider Active NPI

Felicite Sibailly

  • Pharmacist
  • Worcester, MA
National Provider Identifier
1982209987
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH27748 Issued in MA
Practice address
115 Stafford St
Worcester, MA 01603-1440
Phone
(508) 753-3297
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 PH27748 MA Primary

Addresses

Primary practice location

115 Stafford St
Worcester, MA 01603-1440

Mailing address

600 Main St Apt 2407
Worcester, MA 01608-2067
Phone (774) 232-1015

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Directmessage Health Information Exchange (HIE)
CONNECT URL Diectmessage 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

State licenses

LicenseStateTypeSpecialty
PH27748MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1982209987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST APT 2407",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082067",
            "telephone_number": "774-232-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031440",
            "telephone_number": "508-753-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBAILLY",
        "first_name": "FELICITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH27748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Directmessage",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Stafford St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016031440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Diectmessage",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Stafford St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016031440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.