Organization Active NPI

Snyder Drug Stores Inc

  • Community/Retail Pharmacy
  • Chaska, MN
National Provider Identifier
1104978451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262951 Issued in MN
Legal business name
SNYDER DRUG STORES INC
Practice address
802 Yellow Brick Rd
Chaska, MN 55318-2152
Phone
(952) 448-2737
Fax
(952) 936-2589
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jodi Robinson, PHARMD
Title
Director of Phcy Ops
Phone
(952) 936-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 262951 MN Primary

Addresses

Primary practice location

802 Yellow Brick Rd
Chaska, MN 55318-2152

Mailing address

802 Yellow Brick Rd
Chaska, MN 55318-2152

Other identifiers 1

IdentifierTypeStateIssuer
2428008OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Snyder Drug Emporium43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104978451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 YELLOW BRICK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 YELLOW BRICK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182152",
            "telephone_number": "952-448-2737",
            "fax_number": "952-936-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "DIRECTOR OF PHCY OPS",
        "authorized_official_telephone_number": "952-936-2404",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2428008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.