Individual provider Active NPI

Cynthia Ann Brown, PHARM.D.

  • Pharmacist
  • El Dorado Hills, CA
National Provider Identifier
1407208549
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47535 Issued in CA
Practice address
3941 Park Dr
Suite 20-530
El Dorado Hills, CA 95762-4549
Phone
(916) 293-9170
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47535 CA Primary
Pharmacist 183500000X 12043 NV
Pharmacist 183500000X 0202210271 VA

Addresses

Primary practice location

3941 Park Dr
Suite 20-530
El Dorado Hills, CA 95762-4549

Mailing address

3941 Park Dr
Suite 20-530
El Dorado Hills, CA 95762-4549
Phone (916) 293-9170

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

LicenseStateTypeSpecialty
47535CAMDPharmacist
12043NVMDPharmacist
0202210271VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1407208549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 PARK DR",
            "address_2": "SUITE 20-530",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624549",
            "telephone_number": "916-293-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 PARK DR",
            "address_2": "SUITE 20-530",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624549",
            "telephone_number": "916-293-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47535",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "12043",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.