Individual provider Active NPI

Brian William Rous, PHD, PHARMD, RPH

  • Pharmacist
  • Peoria, IL
National Provider Identifier
1285917112
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051292339 Issued in IL
Practice address
5901 W War Memorial Dr Ste 100
Peoria, IL 61615-9255
Phone
(833) 354-2220
Fax
(833) 354-2221
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051292339 IL Primary

Addresses

Primary practice location

5901 W War Memorial Dr Ste 100
Peoria, IL 61615-9255

Mailing address

5901 W War Memorial Dr Ste 100
Peoria, IL 61615-9255
Phone (833) 354-2220

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 Philosophy, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051292339ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pointcore, Inc. CurrentSince Apr 16, 2023 Accepting new patients

Locations

5901 W War Memorial Dr
Ste 100
Peoria, IL 61615
Phone (833) 354-2220

Organizations & group practices 1

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1285917112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W WAR MEMORIAL DR STE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159255",
            "telephone_number": "833-354-2220",
            "fax_number": "833-354-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W WAR MEMORIAL DR STE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159255",
            "telephone_number": "833-354-2220",
            "fax_number": "833-354-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUS",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD, PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.