Seybridge Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0001292 Issued in CT

Legal business name

SEYBRIDGE PHARMACY INC

Practice address

37 New Haven Rd
Seymour, CT 06483-3460

Phone

(203) 888-0073

Fax

(203) 888-2932

NPI assigned

May 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis Villegas

Title

Manager

Phone

(203) 888-0073

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SEYBRIDGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Edwin Przybylski, PHARMACIST

  • Pharmacist
  • Seymour, CT
  • NPI 1902265960
  NPD
• Lori Chuckta, RPH

  • Pharmacist
  • Seymour, CT
  • NPI 1841602059
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1992763882",
    "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": {
        "organization_name": "SEYBRIDGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-888-0073"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0001292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069175",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069167",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0712162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEYBRIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Seymour, CT
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.