Individual provider Active NPI

Cecily Foulger

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1467091405
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452863 Issued in PA
Practice address
5040 City Line Ave
Philadelphia, PA 19131-1435
Phone
(215) 877-2116
NPI assigned
Dec 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452863 PA Primary

Addresses

Primary practice location

5040 City Line Ave
Philadelphia, PA 19131-1435

Mailing address

5040 City Line Ave
Philadelphia, PA 19131-1435

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
RP452863PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1467091405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 CITY LINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CITY LINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311435",
            "telephone_number": "215-877-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULGER",
        "first_name": "CECILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.