Brian K Goetz, pharmacist
Pharmacist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1497845481
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497845481
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian K Goetz
- Credential
- pharmacist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26015503a | IN | Yes |
Practice location
2121 Lake AveFort Wayne, IN 46805-5100
Phone 260-426-5431
Mailing address
8718 Crestfield CtFort Wayne, IN 46835-9655
Phone 260-485-1353
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 383 Pharmacist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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