Active NPI
Brian William Reusch
- Pharmacist
- Freeport, IL
National Provider Identifier
1790060903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.295385
- Practice address
- 835 W Galena Ave
Freeport, IL 61032-3973 - Phone
- (815) 232-8320
- NPI assigned
- Oct 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.295385 | IL | Primary |
Addresses
Primary practice location
835 W Galena Ave
Freeport, IL 61032-3973
Mailing address
2857 Lund Ave Apt 12
Rockford, IL 61109-6031
Phone (815) 985-6914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.295385 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1790060903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2857 LUND AVE APT 12",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611096031",
"telephone_number": "815-985-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 W GALENA AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610323973",
"telephone_number": "815-232-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUSCH",
"first_name": "BRIAN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, IL
- Residential Alternatives of Illinois Inc (Manor Court of Freeport)
- Residential Alternatives of Illinois Inc (Hawthorne Inn of Freeport)
- Residential Alternatives of Illinois, Inc. (Freeport Rehab and Health Care Center)
- Restore Healthcare LLC
- Amber Retzlaff
- John Thomas Reynolds, D.C.
- Amy Riehle, LCSW
- Craig Joseph Riehle, LCSW
- Kate Riker, PHARMD
- Robbin L Klein Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.