Individual provider Active NPI

Samuel Peter Rydell, PHARMD

  • Pharmacist
  • Cool, CA
National Provider Identifier
1497631303
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
82604 Issued in CA
Practice address
5020 Ellinghouse Dr Ste E
Cool, CA 95614-9569
Phone
(530) 889-1427
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 82604 CA Primary

Addresses

Primary practice location

5020 Ellinghouse Dr Ste E
Cool, CA 95614-9569

Mailing address

5020 Ellinghouse Dr Ste E
Cool, CA 95614-9569
Phone (530) 889-1427

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
82604CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Pharmacy Services Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

5020 Ellinghouse Dr
Ste E
Cool, CA 95614
Phone (530) 889-1427

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1497631303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ELLINGHOUSE DR STE E",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149569",
            "telephone_number": "530-889-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 ELLINGHOUSE DR STE E",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149569",
            "telephone_number": "530-889-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDELL",
        "first_name": "SAMUEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cool, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.