Bruce Brunkhorst, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10156 Issued in NE

Practice address

10770 Fort St
Omaha, NE 68134-1230

Phone

(402) 493-3257

Fax

(402) 493-0150

NPI assigned

Mar 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Nebraska CVS Pharmacy LLC

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1750599296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1972138246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242228",
            "telephone_number": "619-804-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 FORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341230",
            "telephone_number": "402-493-3257",
            "fax_number": "402-493-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKHORST",
        "first_name": "BRUCE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46038",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "10156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Rose Bruning
• Kathleen E. Bruning, PHYSICAL THERAPIST
• Linda Bruning, RN
• Brian Brunken, PT
• Ashley Brunkhorst
• Lori Beth Brunner-Buck, MD
• Jason Brunner
• Jennifer Brunner
• K'Den Brunner
• Chaeli Brunotte

• Pharmacist in Omaha, NE
• Providers in Omaha, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.