Brian William Kolling, PHARMD
Individual provider Active NPI Pharmacist · Loretto, MN
NPI 1639792880 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1639792880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 115555 (MN)
- Practice address
- 6000 Harff Rd
Loretto, MN 55357-9730 - Phone
- (612) 298-0794
- NPI assigned
- May 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115555 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 115555 | MN | Yes |
Addresses
Primary practice location
6000 Harff Rd
Loretto, MN 55357-9730
Mailing address
6000 Harff Rd
Loretto, MN 55357-9730
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pharmhound@me.com |
Other providers in Loretto, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. 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.