Individual provider Active NPI

Brooke S Foreacre, PHARMD

  • Pharmacist
  • Pilesgrove, NJ
National Provider Identifier
1861853293
Registry record updated Mar 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03087400 Issued in NJ
Practice address
857 Route 45
Pilesgrove, NJ 08098-2819
Phone
(856) 769-8655
Fax
(856) 769-9359
NPI assigned
Mar 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03087400 NJ Primary
Pharmacist 183500000X RP448741 PA

Addresses

Primary practice location

857 Route 45
Pilesgrove, NJ 08098-2819

Mailing address

857 Route 45
Pilesgrove, NJ 08098-2819
Phone (856) 769-8655

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
28RI03087400NJMDPharmacist
RP448741PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457740800000",
    "number": "1861853293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 ROUTE 45",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982819",
            "telephone_number": "856-769-8655",
            "fax_number": "856-769-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 ROUTE 45",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982819",
            "telephone_number": "856-769-8655",
            "fax_number": "856-769-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREACRE",
        "first_name": "BROOKE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03087400",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilesgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.