Individual provider Active NPI

Timothy Ray Kotschwar, PHARM.D.

  • Pharmacist
  • Alliance, NE
National Provider Identifier
1508248105
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11326 Issued in NE
Practice address
500 E 3Rd St
Alliance, NE 69301-3832
Phone
(308) 762-1258
Fax
(308) 762-2126
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11326 NE Primary

Addresses

Primary practice location

500 E 3Rd St
Alliance, NE 69301-3832

Mailing address

904 Niobrara Ave
Alliance, NE 69301-3017
Phone (308) 762-1258

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
11326NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Community Pharmacy Current Accepting new patients
Alliance Community Pharmacy Current Accepting new patients

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1508248105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NIOBRARA AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013017",
            "telephone_number": "308-762-1258",
            "fax_number": "308-762-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013832",
            "telephone_number": "308-762-1258",
            "fax_number": "308-762-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSCHWAR",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.