Active NPI
Amanda Kaye Snyder, PHARMD
- Pharmacist
- Reidsville, NC
National Provider Identifier
1346556958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21390
- Practice address
- 603 S Scales St
Walgreens Pharmacy
Reidsville, NC 27320-5023 - Phone
- (336) 349-2120
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 21390 | NC | Primary |
Addresses
Primary practice location
603 S Scales St
Walgreens Pharmacy
Reidsville, NC 27320-5023
Mailing address
603 S Scales St
Walgreens Pharmacy
Reidsville, NC 27320-5023
Phone (336) 349-2120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21390 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Reidsville, NC
- NPI 1629226634
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1346556958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S SCALES ST",
"address_2": "WALGREENS PHARMACY",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205023",
"telephone_number": "336-349-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S SCALES ST",
"address_2": "WALGREENS PHARMACY",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205023",
"telephone_number": "336-349-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "AMANDA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.