Cynthia Marie Bruder, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

39915 Issued in CA

Practice address

717 Marsh St
San Luis Obispo, CA 93401-3901

Phone

(805) 547-9885

Fax

(805) 547-9986

NPI assigned

Nov 6, 2015

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

Other names 1

• Cynthia Marie Marlinghaus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Longs Drug Stores California LLC

  dba CVS Pharmacy #09345

  • Community/Retail Pharmacy
  • San Luis Obispo, CA
  • NPI 1720022551
  NPD
• Longs Drug Store California LLC

  dba Longs Drugs #10987

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1629441035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 SANTA MARGARITA RD",
            "city": "ATASCADEO",
            "state": "CA",
            "postal_code": "93422",
            "telephone_number": "805-610-9516",
            "fax_number": "805-547-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013901",
            "telephone_number": "805-547-9885",
            "fax_number": "805-547-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDER",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MARLINGHAUS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Hoyne Brown
• Mary A Brown, MD
• Nicole Brown
• Samantha Brown
• Mattelyn Browne
• Ron Brunick, D.D.S.
• Jeff Scott Bruno, OT
• Dan Bryant Jr.
• Sabrena Anne Bryce, AMFT
• Paul Brylewski, P.A.

• Pharmacist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.