Individual provider Active NPI

Rebecca Brecker, RPH

  • Pharmacist
  • Stratford, NJ
National Provider Identifier
1316268881
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI01188200 Issued in NJ
Practice address
112 Longwood Dr
Stratford, NJ 08084-1808
Phone
(856) 782-8736
NPI assigned
Jun 18, 2010
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01188200 NJ Primary

Addresses

Primary practice location

112 Longwood Dr
Stratford, NJ 08084-1808

Mailing address

112 Longwood Dr
Stratford, NJ 08084-1808
Phone (856) 782-8736

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

LicenseStateTypeSpecialty
28RI01188200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1316268881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LONGWOOD DR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841808",
            "telephone_number": "856-782-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LONGWOOD DR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841808",
            "telephone_number": "856-782-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKER",
        "first_name": "REBECCA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01188200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.