Active NPI
Ronda Burrage, PHARMD
- Pharmacist
- Petaluma, CA
National Provider Identifier
1912319948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50343
- Practice address
- 157 N McDowell Blvd
Petaluma, CA 94954-2304 - Phone
- (707) 765-9100
- Fax
- (707) 789-0472
- NPI assigned
- May 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50343 | CA | Primary |
Addresses
Primary practice location
157 N McDowell Blvd
Petaluma, CA 94954-2304
Mailing address
157 N McDowell Blvd
Petaluma, CA 94954-2304
Phone (707) 765-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50343 | Other | CA | PHARMACIST LICENSE |
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
Practice roles
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1174633820
-
- Community/Retail Pharmacy
- Petaluma, CA
- NPI 1649419268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401062400000",
"number": "1912319948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542304",
"telephone_number": "707-765-9100",
"fax_number": "707-789-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542304",
"telephone_number": "707-765-9100",
"fax_number": "707-789-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRAGE",
"first_name": "RONDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-26",
"last_updated": "2014-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "50343",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.