Individual provider Active NPI

Cynthia Nobles, PHARM D

  • Pharmacist
  • Eagan, MN
National Provider Identifier
1679898944
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127078 Issued in MN
Practice address
1940 Cliff Lake Rd
Eagan, MN 55122-2492
Phone
(651) 454-5150
Fax
(651) 686-5923
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13348 AL
Pharmacist 183500000X 127078 MN Primary

Addresses

Primary practice location

1940 Cliff Lake Rd
Eagan, MN 55122-2492

Mailing address

1940 Cliff Lake Rd
Eagan, MN 55122-2492
Phone (651) 454-5150

Other practice location 1

1152 E Lake Blvd
Birmingham, AL 35217-2402
Phone (205) 841-6421

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
13348ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RDR Corporation Current Accepting new patients
Supervalu Pharmacies Inc. Past Accepting new patients
Supervalu Pharmacies Inc Past Accepting new patients

Locations

1152 E Lake Blvd
Tarrant, AL 35217
Phone (205) 841-6421

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1679898944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 CLIFF LAKE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222492",
            "telephone_number": "651-454-5150",
            "fax_number": "651-686-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CLIFF LAKE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222492",
            "telephone_number": "651-454-5150",
            "fax_number": "651-686-5923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 E Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352172402",
            "country_code": "US",
            "telephone_number": "205-841-6421",
            "fax_number": "205-841-2405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "CYNTHIA",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13348",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.