CMS-1500 Box 24J / 33a • NPI
1366056160
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1835P0018X
Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Box 32 Service Location & ZIP+4
3036 1ST AVE S, FORT DODGE, IA, 50501-2925
✓ 9-Digit EDI 837 ZIP+4 (50501-2925)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366056160 (BRIAN THORESON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1366056160)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 30 | 30 |
| Arexvy Rsvpref3 Antigen/As01e/Pf | 14 | 14 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 18 | 18 |
| Shingrix Varicella-Zoster Ge/As01b/Pf | 29 | 28 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366056160 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRIAN THORESON |
| Plain-English Specialty | Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist NUCC Code: 1835P0018X (Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3036 1ST AVE S, FORT DODGE, IA, 50501-2925 |
| Practice Telephone / Fax | Tel: (515) 576-7405 |
| Administrative Mailing Address | 101 S PARK AVE, SPRINGFIELD, MN, 56087-1413 |
| Enumeration & Last Sync | Enumerated: 2020-08-31 | CMS Record Updated: 2020-09-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1835P0018X)
What Does Taxonomy Code 1835P0018X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P0018X translates to:
"Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRIAN THORESON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1835P0018X — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPlain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | State: IA | License: 23706 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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