Stephanie Burke

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01642200 Issued in NJ

Practice address

605 Route 9
Forked River, NJ 08731-4827

Phone

(609) 693-2868

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stephanie Freer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forked River Pharmacy

  • Community/Retail Pharmacy
  • Forked River, NJ
  • NPI 1932217684
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1700209103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 FORGE POND RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242936",
            "telephone_number": "732-840-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ROUTE 9",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314827",
            "telephone_number": "609-693-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01642200",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RJ05120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FREER",
            "prefix": "MS.",
            "credential": "RP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gannon Brochin, DC
• Donna Leigh Brocklebank, CPHT
• Theresa L. Broo, LPC
• Erin M Budow, D.C.
• Building Blocks Behavior Therapy
• Lauren Calorel, PT, DPT
• Katelyn Campbell, DDS
• Robert Angelo Campolattaro, M.D.
• Glenn R. Candeletti, PH.D.
• Shane Capone, D.P.T.

• Pharmacist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.