Etresia Francisca De Bruin

Primary specialty

PharmacistTaxonomy code 183500000X

License

INT22143 Issued in CA

Practice address

6646 Clark Rd
Rite Aid Pharmacy
Paradise, CA 95969-3554

Phone

(530) 872-2700

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1205090404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 WANDERER LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738284",
            "telephone_number": "530-892-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 CLARK RD",
            "address_2": "RITE AID PHARMACY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693554",
            "telephone_number": "530-872-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BRUIN",
        "first_name": "ETRESIA",
        "middle_name": "FRANCISCA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "INT22143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Gajda, MD, a Professional Corporation
• David W. Gillett D.M.D., Inc.
• Richard Leslie Davies, M.D.
• Diane Burke Davis, LCSW
• Richard Michael Day, LCSW
• Xochitl Lenz De la Cruz, PA
• Heather Deberry
• Richard P. Defrancisci, M.D.
• Charles E Denman, M.D.
• Elizabeth Dawn Desoto, R.D.

• Pharmacist in Paradise, CA
• Providers in Paradise, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.