MEDICARE: RANDY A RYDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	38106	CA

General Provider Information

NPI Number	:	1780995357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDY A RYDER

Provider Business Mailing Address
First Line	:	19205 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5413
Country	:	US
Telephone Number	:	707-938-0282
Fax Number	:	707-938-2649

Provider Business Practice Location Address
First Line	:	19205 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5413
Country	:	US
Telephone Number	:	707-938-0282
Fax Number	:	707-938-2649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2010
Last Update Date	:	06/29/2010

Similar Medicare Providers

1760591127 — THRIFTY PAYLESS INC
Practice Location Address:

19205 SONOMA HIGHWAY , MAXWELL VILLAGE SHOPPING CENTER
SONOMA, CA
95476-5413

Practice Phone: 707-938-0281
Practice Fax:

1336455682 — ANGELIQUE LE ROUX
Practice Location Address:

19205 HIGHWAY 12
SONOMA, CA
95476-5413

Practice Phone: 707-938-0281
Practice Fax:

1669763124 — MARGARET CORNELIA MEYER-PRETORIUS
Practice Location Address:

19205 HIGHWAY 12
SONOMA, CA
95476-5413

Practice Phone: 707-938-0547
Practice Fax:

1164780821 — MRS. AMY STARLITE HUDDLE LCSW
Practice Location Address:

19270 HIGHWAY 12
SONOMA, CA
95476-5414

Practice Phone: 707-939-6070
Practice Fax: 707-939-6077

1639009517 — SONOMA OAK TREE HOME RCFE LLC
Practice Location Address:

425 ARBOR AVE
SONOMA, CA
95476-4501

Practice Phone: 707-996-4706
Practice Fax:

1700962727 — KENNETH JOSEPH TOBIN DO
Practice Location Address:

651 1ST ST W STE L
SONOMA, CA
95476-7046

Practice Phone: 707-935-1470
Practice Fax:

Directions to “ RANDY A RYDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.