Individual provider Active NPI

Brian Howard Snyder

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1306480959
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP035488L Issued in PA
Practice address
1300 W Lehigh Ave Ste 102
Philadelphia, PA 19132-2760
Phone
(610) 659-8088
Fax
(215) 228-9099
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP035488L PA Primary

Addresses

Primary practice location

1300 W Lehigh Ave Ste 102
Philadelphia, PA 19132-2760

Mailing address

503 Hiram Rd
Plymouth Meeting, PA 19462-1271
Phone (610) 659-8088

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Philadelphia

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

State licenses

LicenseStateTypeSpecialty
RP035488LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Broad & Lehigh Pharmacy, Inc Pharmacist PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1306480959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HIRAM RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621271",
            "telephone_number": "610-659-8088",
            "fax_number": "215-228-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W LEHIGH AVE STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322760",
            "telephone_number": "610-659-8088",
            "fax_number": "215-228-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "BRIAN",
        "middle_name": "HOWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP035488L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "address_1": "1300 W Lehigh Ave Ste 102",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191322760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.