SNP Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49973 Issued in CA

Legal business name

SNP PHARMACY LLC

Practice address

9920 Scripps Lake Dr
Ste 108
San Diego, CA 92131-1080

Phone

(858) 564-2000

Fax

(585) 564-2100

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Ruby Baylin

Title

Manager

Phone

(626) 820-5810

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SKILLED NURSING PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glendale Geluz, PHARMD

  • Pharmacist
  • San Diego, CA
  • NPI 1013284629
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1205008299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 SCRIPPS LAKE DR",
            "address_2": "STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311080",
            "telephone_number": "858-564-2000",
            "fax_number": "585-564-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 SCRIPPS LAKE DR",
            "address_2": "STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311080",
            "telephone_number": "858-564-2000",
            "fax_number": "585-564-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "BAYLIN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-820-5810"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5629665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA499730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKILLED NURSING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKILLED NURSING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tristen Jay Snow
• Carol Lynn Snowdeal, LCSW
• Allison Michelle Snowden, L.A.C, LMT
• Douglas Ray Snowden
• James R Snowden, PA
• Aaron Christopher Snyder, P.T.
• Amanda Snyder
• Amy Christine Snyder, M.S., LMFT
• Arelis Snyder
• Ashley C Snyder, PSYD

• Long Term Care Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.