Cynthia Marie Gotheridge

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

9642 Issued in SC

Practice address

1028 Roberts Branch Pkwy
Columbia, SC 29203-9143

Phone

(803) 234-7150

Fax

(803) 234-2212

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

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

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.

• The Kroger Co

  • Community/Retail Pharmacy
  • Columbia, SC
  • NPI 1003262809
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Irmo, SC
  • NPI 1447284161
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1275819286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 ROBERTS BRANCH PKWY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039143",
            "telephone_number": "803-234-7150",
            "fax_number": "803-234-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 ROBERTS BRANCH PKWY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039143",
            "telephone_number": "803-234-7150",
            "fax_number": "803-234-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHERIDGE",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "9642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa B Gore, LISW-CP
• Isabella G Gormanson, LMSW
• Eric Gormley
• Shayla Gortman
• Kelly Day Gothard, M.S.
• Venkateshwar K Gottipaty, MD, PHD
• Mary Katherine Gottlieb, APRN
• Leanne Gold Gottschalk, APRN
• Bernadette Joann Goudreau
• John Edward Gough, MHP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.