Brooke Marie Van Eeghen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH04640 Issued in RI

Practice address

1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638

Phone

(102) 292-3476

NPI assigned

Oct 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Van Eeghens Pharmacy LLC

  • Pharmacy
  • Cranston, RI
  • NPI 1154822559
  NPD (past) Authorized official

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1629303433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CANTERBURY HL",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083453",
            "telephone_number": "401-741-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "102-292-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EEGHEN",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH04640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Juliette Vacca, M.D.
• Matt Sin Valdes, OD
• Alexander Valdez, FNP-C
• Kara M Van de Kieft, M.D.
• Michael Wesley Van de Kieft, M.D.
• Julie Van, D.M.D.
• Kraig Stephen Vandewalle, DDS, MS
• Kevin Robert Vanvalkenburg, D.O.
• Josh Vanwyngaarden, DPT, PHD
• Diego L Vega, OD

• Pharmacist in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.