Brian Thoreson

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

23706 Issued in IA

Practice address

3036 1St Ave S
Fort Dodge, IA 50501-2925

Phone

(515) 576-7405

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1366056160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PARK AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560871413",
            "telephone_number": "507-766-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012925",
            "telephone_number": "515-576-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IA",
            "license": "23706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Taylor, DO
• Terry D. Moehnke, O.D., P.C.
• Faith Rochelle Thedford, NP
• Therapeutic Solutions PLLC
• Thompson Chiropractic
• Timi Jordison Psychological Services, P.C.
• Sarah Anne Tofilon, MD
• Randall Wayne Toothaker, D.D.S.
• Eliu Touney
• Teri Lyn Townsend, DNP, CPNP-PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.