Individual provider Active NPI

Brianna Hettwer, PHARMD, RPH

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1366201527
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH6513 Issued in ND
Practice address
2800 Broadway N
Fargo, ND 58102-1420
Phone
(701) 293-0221
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 126184 MN
Pharmacist 183500000X RPH6513 ND Primary

Addresses

Primary practice location

2800 Broadway N
Fargo, ND 58102-1420

Mailing address

2800 Broadway N
Fargo, ND 58102-1420
Phone (701) 293-0221

Other practice location 1

301 Np Ave N
Fargo, ND 58102-4835
Phone (701) 271-1495

Other practice location 2

4476 31st Ave S
Fargo, ND 58104-4532
Phone (701) 639-6969

Other practice location 3

2301 University Dr S
Fargo, ND 58103-5247
Phone (701) 293-3060

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
126184MNMDPharmacist
RPH6513NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
W W Inc PastSince Mar 24, 2024 Accepting new patients

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1366201527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021420",
            "telephone_number": "701-293-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021420",
            "telephone_number": "701-293-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Np Ave N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581024835",
            "country_code": "US",
            "telephone_number": "701-271-1495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4476 31st Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044532",
            "country_code": "US",
            "telephone_number": "701-639-6969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581035247",
            "country_code": "US",
            "telephone_number": "701-293-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETTWER",
        "first_name": "BRIANNA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126184",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.