BRIAN THORESON (NPI# 1366056160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366056160 |
| Entity Type | Individual |
| Full Name | BRIAN THORESON |
| Practice Address |
3036 1st Ave S Fort Dodge IA 50501-2925 |
| Mailing Address |
101 S Park Ave Springfield MN 56087-1413 |
| Practice Telephone | 5155767405 |
| Mailing Telephone | 5077663940 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
23706 | IA | Pharmacy Service Providers |
| Street Address |
3036 1ST AVE S |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217221 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2006-07-16 |
| 1740477819 | Heath Family Eyecare Inc | Optometrist | 3036 1st Ave S, Vision Center, Fort Dodge, IA 50501-2988 | 2007-10-02 |
| 1952437105 | Brent A Heath | Optometrist | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2007-02-24 |
| 1043357692 | Bethany A Heath | Optometrist | 3036 1st Ave S, Walmart Vision Center, Fort Dodge, IA 50501-2925 | 2007-01-31 |
| 1790850451 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 3036 1st Ave S, Fort Dodge, IA 50501-2988 | 2006-11-21 |
| 1689755571 | Wal-mart Stores, Inc. | Technician/Technologist | 3036 1st Ave S, Fort Dodge, IA 50501-2988 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988109 | Erin Jensen | Pharmacist | 801 55th St, West Des Moines, IA 50266-6326 | 2019-11-27 |
| 1134548282 | Laurie Beth Allbaugh | Pharmacist | 227 Southbrooke Dr Apt 4, Waterloo, IA 50702-5826 | 2014-04-15 |
| 1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
| 1679702344 | Meaghan Rogers | Pharmacist | 115 South Grand Avenue, S558, Iowa City, IA 52242-1112 | 2009-07-02 |
| 1598837494 | Heather Marcelle Rickertsen | Pharmacist | 1690 Elm St Ste 300, Dubuque, IA 52001-3679 | 2006-11-15 |
| 1003422429 | Kara Renee Eid | Pharmacist | 2639 Avenue L, Fort Madison, IA 52627-3840 | 2020-09-21 |
| 1992313175 | Zachary Less | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-14 |
| 1184241473 | Stacy Croy | Pharmacist | 200 Hawkins Dr, Cc 101 Gh, Iowa City, IA 52242 | 2020-07-02 |
| 1225655509 | Jacqueline Cicchese | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-02 |
| 1467072629 | Jade Feller | Pharmacist | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on BRIAN THORESON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.