KURT BROCKHAUSEN (NPI# 1356744395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356744395 |
| Entity Type | Individual |
| Full Name | KURT BROCKHAUSEN |
| Practice Address |
2290 King Ave West Billings MT 59102 |
| Mailing Address |
2290 King Ave W Billings MT 59102-7415 |
| Practice Telephone | 4066528556 |
| Practice Fax Number | 4066564069 |
| Mailing Telephone | 4066528556 |
| Mailing Fax Number | 4066564069 |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3362 | MT | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
3362 | MT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MT LIC# | 3362 | 01 |
| Street Address |
2290 KING AVE WEST |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858465 | Krystel Alene Buckland | Pharmacist | 1921 14th St W, Billings, MT 59102-3113 | 2020-03-31 |
| 1174175079 | Tasha Schalk | Pharmacist | 495 Wild Turkey Dr, Billings, MO 65610-9410 | 2019-07-10 |
| 1568833416 | Jennifer Streeter Ulrichs | Pharmacist | 2620 Lake Elmo Dr, Billings, MT 59105-3913 | 2015-10-16 |
| 1447632203 | Maison Abdalla Ibrahim Mohamed | Pharmacist | 3934 Victory Cir Apt 34, Billings, MT 59102-5937 | 2015-06-29 |
| 1316336118 | Teresa Hink | Pharmacist | 3625 Banff Ave, Billings, MT 59102-7758 | 2015-01-15 |
| 1851795645 | Ashley Alicia Robinson | Pharmacist | 1540 13th St West, Billings, MT 59102 | 2014-10-22 |
| 1184855140 | D'anne Kay Holley | Pharmacist | 4490 Lone Eagle Dr, Billings, MT 59106-9680 | 2009-08-06 |
| 1942464086 | Marisa Jean Graham | Pharmacist | 315 Emerald Hills Dr, Billings, MT 59101-7227 | 2008-07-17 |
| 1316119803 | Dennis Wayne Rudolph | Pharmacist | 960 Gold Dust Cir, Billings, MT 59105-2056 | 2008-03-25 |
| 1194902676 | Lucinda Reid | Pharmacist | 1624 Touch Stone St, Billings, MT 59106-1235 | 2008-01-27 |
| Find all providers in BILLINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.