Individual provider Active NPI

Breanna Marie Brinkman, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1457735946
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22447 Issued in IA
Practice address
17405 Burke St Ste 26
Omaha, NE 68118-2262
Phone
(402) 596-3400
Fax
(402) 552-7255
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 22447 IA Primary

Addresses

Primary practice location

17405 Burke St Ste 26
Omaha, NE 68118-2262

Mailing address

17405 Burke St Ste 26
Omaha, NE 68118-2262
Phone (402) 596-3400

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

LicenseStateTypeSpecialty
22447IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Nebraska Medical Center CurrentSince Apr 14, 2024 Accepting new patients
The Nebraska Medical Center CurrentSince Sep 5, 2023 Accepting new patients

Locations

17405 Burke St
Ste 26
Omaha, NE 68118
Phone (402) 596-3400

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1457735946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17405 BURKE ST STE 26",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182262",
            "telephone_number": "402-596-3400",
            "fax_number": "402-552-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17405 BURKE ST STE 26",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182262",
            "telephone_number": "402-596-3400",
            "fax_number": "402-552-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "22447",
            "primary": true
        }
    ],
    "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 Sep 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.