Active NPI
Charles Reid Schnorrenberg, RPH
- Pharmacist
- Marietta, OK
National Provider Identifier
1114093002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8259
- Practice address
- 300 S Highway 77
Marietta, OK 73448 - Phone
- (580) 276-5349
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 8259 | OK | Primary |
Addresses
Primary practice location
300 S Highway 77
Marietta, OK 73448
Mailing address
300 S Highway 77
Marietta, OK 73448
Phone (580) 276-5349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8259 | Other | OK | STATE LICENSE NUMBER |
Other names 1
- Mr. Reid Schnorrenberg
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8259 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Pharmacy LLC | Past | Accepting new patients | |
| Marietta Discount Pharmacy, Inc | Past | Accepting new patients |
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
- Marietta, OK
- NPI 1235216003
-
- Community/Retail Pharmacy
- Marietta, OK
- NPI 1356724157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114093002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S HIGHWAY 77",
"city": "MARIETTA",
"state": "OK",
"postal_code": "73448",
"telephone_number": "580-276-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HIGHWAY 77",
"city": "MARIETTA",
"state": "OK",
"postal_code": "73448",
"telephone_number": "580-276-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNORRENBERG",
"first_name": "CHARLES",
"middle_name": "REID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "8259",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REID",
"last_name": "SCHNORRENBERG",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Marietta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.