Individual provider Active NPI

Luke Snell, PHARMD

  • Pharmacist
  • Hailey, ID
National Provider Identifier
1073047445
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P6248 Issued in ID
Practice address
101 S Main St
Hailey, ID 83333-8408
Phone
(208) 788-4970
Fax
(208) 788-5791
NPI assigned
Apr 12, 2017
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P6248 ID Primary

Addresses

Primary practice location

101 S Main St
Hailey, ID 83333-8408

Mailing address

1920 Laurelwood Dr
Hailey, ID 83333-7606

Other names 1

  • Lucas Snell Other name

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
P6248IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Luke Family Pharmacy LLC CurrentSince Mar 20, 2022 Accepting new patients
Lukes Family Pharmacy LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

101 S Main St
Hailey, ID 83333
Phone (208) 788-4970

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, 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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1073047445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 LAURELWOOD DR",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833337606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338408",
            "telephone_number": "208-788-4970",
            "fax_number": "208-788-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "LUKE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCAS",
            "last_name": "SNELL",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.