Active NPI
Brian Fochs, PHARMD
- Pharmacist
- Omaha, NE
National Provider Identifier
1104195890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13437
- Practice address
- 2323 L St
Omaha, NE 68107-1847 - Phone
- (402) 738-8061
- NPI assigned
- Dec 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13437 | NE | Primary |
| Pharmacist | 183500000X | 21289 | IA |
Addresses
Primary practice location
2323 L St
Omaha, NE 68107-1847
Mailing address
6742 S 188TH Ave
Omaha, NE 68135-4128
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 |
|---|---|---|---|
| 13437 | NE | MD | Pharmacist |
| 21289 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324684800000",
"number": "1104195890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6742 S 188TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681354128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 L ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071847",
"telephone_number": "402-738-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOCHS",
"first_name": "BRIAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-24",
"last_updated": "2011-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13437",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.