SNP Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49974 Issued in CA

Legal business name

SNP PHARMACY LLC

Doing business as

Skilled Nursing Pharmacy Hayward

Practice address

21150 Cabot Blvd
Hayward, CA 94545-1130

Phone

(510) 300-6470

Fax

(510) 300-6486

NPI assigned

Aug 10, 2007

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 3

Addresses

Other identifiers 2

Other names 1

• SKILLED NURSING PHARMACY HAYWARD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy

  • Long Term Care Pharmacy
  • City of Industry, CA
  • NPI 1689789315

  0648480574

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy

  • Long Term Care Pharmacy
  • City of Industry, CA
  • NPI 1689789315

  O20201009000974, O20210922003296

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

SNP Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy

  • Long Term Care Pharmacy
  • City of Industry, CA
  • NPI 1689789315
  NPD tax ID

Locations

Practitioners 3

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

• Lianne Capistrano, PHARMD

  • Pharmacist
  • Hayward, CA
  • NPI 1528817913
  NPD (past)
• Glendale Geluz, PHARMD

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

  • Pharmacist
  • Hayward, CA
  • NPI 1871176578
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1336331677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 CABOT BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451130",
            "telephone_number": "800-801-2224",
            "fax_number": "510-300-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 CABOT BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451130",
            "telephone_number": "510-300-6470",
            "fax_number": "510-300-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49974",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112566",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA499740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKILLED NURSING PHARMACY HAYWARD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKILLED NURSING PHARMACY HAYWARD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leilah Marie Smith
• Lenny Rose Pangue Smith
• Monicia Smith
• Sophia Smith
• Smyle Essentials Dental Hygiene Practice of Stephanie Gordillo, Rdhap (SMYLE essentials)
• Rebecca Marie Snyder
• Zineb Sobhi
• Christopher Frazee Sobky, MS, MFT-I
• Darcell Sockwell, MA, LMFT
• Mame Codou Sokhna

• Long Term Care Pharmacy in Hayward, CA
• Providers in Hayward, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.