Active NPI
Snyder Pharmacy Inc
- Community/Retail Pharmacy
- Snyder, NY
National Provider Identifier
1053466078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 008050
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3300895 | Other | NABP | |
| 01328665 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.