Brian P. Bolinske, R.PH.
Individual provider Active NPI Pharmacist · Rapid City, SD
NPI 1609913383 · NPPES record last updated Jan 6, 2016
Key facts
- NPI
- 1609913383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4424 (SD)
- Practice address
- 23831 Ranch View CT
Rapid City, SD 57702-7367 - Phone
- (701) 770-6721
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH4475 | ND | MD | Pharmacist |
| 4424 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interstate Retail Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4424 | SD | Yes |
| Pharmacist | 183500000X | RPH4475 | ND |
Addresses
Primary practice location
23831 Ranch View CT
Rapid City, SD 57702-7367
Mailing address
23831 Ranch View CT
Rapid City, SD 57702-7367
Phone (701) 770-6721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4424 | Other | SD | STATE PHARMACY LICENSE |
| RPH4475 | Other | ND | STATE PHARMACY LICENSE |
Other providers in Rapid City, SD
- Marc E Boddicker
- Nora Christina Boesem
- Javier E Bogarin
- Kyle L Bohling
- Jenny M Boland-Hanson
- Jody L. Bolinske
- Bolton Counseling and Consulting LLC
- Rhonda Lynn Bolton
- Amanda Bom
- Geoffrey P Bonar
All providers in Rapid City, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.