Bret A. Koertge, PHARMD, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26023762A Issued in IN

Practice address

115 W Bond St Ste P
Astoria, OR 97103-6009

Phone

(503) 468-3146

NPI assigned

Mar 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Geriscript of MD, LLC

  • Long Term Care Pharmacy
  • Glen Burnie, MD
  • NPI 1851052856
  NPD
• Covermymeds Pharmacy LLC

  • Pharmacy
  • Memphis, TN
  • NPI 1932745312
  NPD (past)
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Brockton, MA
  • NPI 1992521512
  NPD (past)
• Premier Pharmacy Norcal LLC

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1205523370
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1336462761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 EXETER RD UNIT 80-454",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383963",
            "telephone_number": "901-687-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BOND ST STE P",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036009",
            "telephone_number": "503-468-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "796 Cromwell Park Dr Ste D-F",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210612534",
            "country_code": "US",
            "telephone_number": "443-213-4000 x301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Colorado St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852331618",
            "country_code": "US",
            "telephone_number": "602-649-4145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Gateway Center Way Ste G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024548",
            "country_code": "US",
            "telephone_number": "619-262-4373 x100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4630 Northgate Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341141",
            "country_code": "US",
            "telephone_number": "661-445-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 California Ave # 950",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090728",
            "country_code": "US",
            "telephone_number": "661-455-9616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23297 S Pointe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531491",
            "country_code": "US",
            "telephone_number": "661-829-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 N 16th St # 203",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167125",
            "country_code": "US",
            "telephone_number": "602-807-6799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 F Ave",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919501336",
            "country_code": "US",
            "telephone_number": "901-687-7170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 Exeter Rd Unit 80-454",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383963",
            "country_code": "US",
            "telephone_number": "901-687-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOERTGE",
        "first_name": "BRET",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHARMD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33685",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024593",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-14431",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21467",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66305",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22079",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "R-17333",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017930",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "202218476",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "17987",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023762A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knappa School District 4
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• Emily Elizabeth Knutson, CD,CLC, CRM.
• John Joseph Kochanski IV
• Milan Kopecky
• KPG Oregon, LLC
• Debra Kumm, PHARMD.
• Melissa Ann Kuneki
• Katelyn Marie Kusey, PTA

• Pharmacist in Astoria, OR
• Providers in Astoria, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.