Active NPI
Sarah Rae Brouillet, PHARMD
- Pharmacist
- Portland, ME
National Provider Identifier
1659975613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR27896
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PR27896 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, L.L.C. | Current | Accepting new patients | |
| Procare Pharmacy, LLC. | Past | 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.