Active NPI
Amanda Rosemary Bringe, PHARMD.
- Pharmacist
- San Luis Obispo, CA
National Provider Identifier
1356170252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64138
- Practice address
- 720 Aerovista PL Ste D
San Luis Obispo, CA 93401-8726 - Phone
- (866) 239-3784
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64138 | CA | Primary |
Addresses
Primary practice location
720 Aerovista PL Ste D
San Luis Obispo, CA 93401-8726
Mailing address
720 Aerovista PL Ste D
San Luis Obispo, CA 93401-8726
Phone (866) 239-3784
Other names 1
- Amanda Rosemary Krause
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64138 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Concepts, Inc. | Current | Accepting new patients |
Locations
720 Aerovista Pl
Ste D
San Luis Obispo, CA 93401
Phone (844) 248-9064
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1356170252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 AEROVISTA PL STE D",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934018726",
"telephone_number": "866-239-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 AEROVISTA PL STE D",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934018726",
"telephone_number": "866-239-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINGE",
"first_name": "AMANDA",
"middle_name": "ROSEMARY",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "KRAUSE",
"middle_name": "ROSEMARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.