Individual provider Active NPI

Sarah Rae Brouillet, PHARMD

  • Pharmacist
  • Portland, ME
National Provider Identifier
1659975613
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR27896 Issued in ME
Practice address
141 Preble St
Portland, ME 04101-2440
Phone
(207) 899-0939
Fax
(207) 899-0968
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
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 PR27896 ME Primary

Addresses

Primary practice location

141 Preble St
Portland, ME 04101-2440

Mailing address

141 Preble St
Portland, ME 04101-2440
Phone (207) 899-0939

Other names 1

  • Sarah Rae Deraps Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.brouillet@cvshealth.com Direct

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PR27896MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy, L.L.C. CurrentSince Apr 27, 2025 Accepting new patients
Procare Pharmacy, LLC. PastSince Dec 6, 2020 Accepting new patients

Locations

141 Preble St
Portland, ME 04101
Phone (207) 899-0939

Organizations & group practices 2

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

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": "1659975613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012440",
            "telephone_number": "207-899-0939",
            "fax_number": "207-899-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012440",
            "telephone_number": "207-899-0939",
            "fax_number": "207-899-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLET",
        "first_name": "SARAH",
        "middle_name": "RAE",
        "credential": "PHARMD",
        "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": "ME",
            "license": "PR27896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.brouillet@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "141 Preble St",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041012440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DERAPS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

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.