DR. BRIANNE KAY PEROUTKA (NPI# 1871728774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871728774 |
| Entity Type | Individual |
| Full Name | DR. BRIANNE KAY PEROUTKA |
| Credential | PHARM.D. |
| Practice Address |
200 State Ave Faribault MN 55021-6339 |
| Practice Telephone | 5073324791 |
| Practice Fax Number | 5073324792 |
| Mailing Telephone | 5073324791 |
| Mailing Fax Number | 5073324792 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118329 | MN | Pharmacy Service Providers |
| Street Address |
200 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529485 | Charles Richard Boyle | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2006-02-28 |
| 1922535178 | Allina Health System | Clinic/Center | 200 State Ave, Faribault, MN 55021-6339 | 2017-05-18 |
| 1457806507 | Jennie Torola | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2016-08-18 |
| 1518321488 | Sarah Edwards | Social Worker | 200 State Ave, Faribault, MN 55021-6339 | 2016-04-07 |
| 1457726853 | Allina Health System | Nurse Anesthetist, Certified Registered | 200 State Ave, Faribault, MN 55021-6339 | 2015-12-10 |
| 1346647013 | Michael Jeffrey Muehlenbein | Registered Nurse | 200 State Ave, Faribault, MN 55021-6339 | 2014-11-24 |
| 1275947293 | Elizabeth Fetzer | Obstetrics & Gynecology | 200 State Ave, Faribault, MN 55021 | 2014-06-18 |
| 1154741577 | Allina Health System | General Acute Care Hospital | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1063832475 | Allina Health System | Anesthesiology | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| 1073933495 | Allina Health System | Hospice Care, Community Based | 200 State Ave, Faribault, MN 55021-6339 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1588655393 | William Howard Boyes | Pharmacist | 301 Central Ave N, Faribault, MN 55021-5214 | 2005-10-31 |
| 1467450932 | Deborah Ann Thibodeau | Pharmacist | 1920 Grant St Nw, Faribault, MN 55021-4831 | 2005-07-08 |
| 1952901720 | Rahwa Tesfe | Pharmacist | 150 Western Ave Nw, Faribault, MN 55021-4504 | 2020-10-29 |
| 1396343356 | Bradley Peters | Pharmacist | 150 Western Ave Nw, Faribault, MN 55021-4504 | 2020-10-13 |
| 1699386466 | Ngoc Vuong | Pharmacist | 612 4th St Nw, Faribault, MN 55021-5035 | 2020-08-13 |
| 1629584644 | Scott Casper | Pharmacist | 1920 Grant St Nw, Faribault, MN 55021-4831 | 2017-12-28 |
| 1063774834 | Heather Cay Bolstad | Pharmacist | 150 Western Ave Nw, Faribault, MN 55021-4504 | 2012-06-07 |
| 1235410655 | Benjamin James Cooper | Pharmacist | 612 4th St Nw, Faribault, MN 55021-5035 | 2011-08-30 |
| Find all providers in FARIBAULT | ||||
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| 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.