Individual provider Active NPI

Evan Snow, PHARMD

  • Pharmacist
  • Hudson, NY
National Provider Identifier
1275136236
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065491 Issued in NY
Practice address
160 Fairview Ave Ste 20
Hudson, NY 12534-8405
Phone
(518) 828-0050
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 065491 NY Primary

Addresses

Primary practice location

160 Fairview Ave Ste 20
Hudson, NY 12534-8405

Mailing address

265 Schoolhouse Rd
Albany, NY 12203-5955
Phone (518) 937-1338

Other practice location 1

60 Bridge St
Margaretville, NY 12455-8027
Phone (845) 586-2955

Other practice location 2

7600 Route 32
Cairo, NY 12413-3160
Phone (518) 622-2000

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
065491NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany, L.L.C. PastSince Jan 14, 2024 Accepting new patients
CVS Albany LLC PastSince Nov 1, 2020 Accepting new patients
CVS Albany LLC PastSince Nov 1, 2020 Accepting new patients
CVS Albany LLC PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1275136236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SCHOOLHOUSE RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035955",
            "telephone_number": "518-937-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FAIRVIEW AVE STE 20",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125348405",
            "telephone_number": "518-828-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Margaretville",
            "state": "NY",
            "postal_code": "124558027",
            "country_code": "US",
            "telephone_number": "845-586-2955",
            "fax_number": "845-586-1388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Route 32",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "NY",
            "postal_code": "124133160",
            "country_code": "US",
            "telephone_number": "518-622-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.