Organization Active NPI

Snyder Pharmacy Inc

  • Community/Retail Pharmacy
  • Snyder, NY
National Provider Identifier
1053466078
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
008050 Issued in NY
Legal business name
SNYDER PHARMACY INC
Practice address
4536 Main Street
Snyder, NY 14226-3828
Phone
(716) 839-3050
Fax
(716) 839-1140
NPI assigned
Jan 23, 2007
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Martin Leo Quinn IV
Title
President Owner
Phone
(716) 839-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 008050 NY Primary

Addresses

Primary practice location

4536 Main Street
Snyder, NY 14226-3828

Mailing address

4536 Main Street
Snyder, NY 14226-3828
Phone (716) 839-3050

Other identifiers 2

IdentifierTypeStateIssuer
3300895OtherNABP
01328665MedicaidNY

National Provider Directory

National Provider Directory

Locations

4536 Main St
Snyder, NY 14226
Phone (716) 560-6362

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1053466078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 MAIN STREET",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142263828",
            "telephone_number": "716-839-3050",
            "fax_number": "716-839-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 MAIN STREET",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142263828",
            "telephone_number": "716-839-3050",
            "fax_number": "716-839-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "716-839-3050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "008050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3300895",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01328665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.