Gretchen Riederer

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS35576 Issued in FL

Practice address

6830 Normandy Blvd
Jacksonville, FL 32205-1902

Phone

(904) 786-0525

NPI assigned

Dec 4, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1265037360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 TORTOISE TRCE",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322595460",
            "telephone_number": "904-287-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322051902",
            "telephone_number": "904-786-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDERER",
        "first_name": "GRETCHEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Dawn Ridgeway, RPH
• Julie A Riding
• Christopher Ridley, PHARMD
• Elizabeth Nicole Ridley, PHARMD, BCPS, BCCCP
• James Dean Ridley, DMD
• Susan Veronica Rieger, OTR/L, CHT
• Douglas Riegert-Johnson, MD
• Vanessa Z Riegert-Johnson, MD
• Randall Albert Riegler, M.D.
• Tracy Murphy Riemland, D.M.D

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.