Active NPI
Royal G Snacks, Inc.
Doing business as Allied Distribution Services
- Developmentally Disabled Services Day Training Agency
- Tampa, FL
National Provider Identifier
1346820107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ROYAL G SNACKS, INC.
- Doing business as
- Allied Distribution Services
Smart Snack - Practice address
- 8504 E Adamo Dr Ste 115
Tampa, FL 33619-3515 - Phone
- (813) 898-8795
- NPI assigned
- Apr 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Ernneus
- Title
- President
- Phone
- (305) 244-5920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
8504 E Adamo Dr Ste 115
Tampa, FL 33619-3515
Mailing address
PO Box 291468
Tampa, FL 33687-1468
Phone (305) 244-5920
Other names 2
- ALLIED DISTRIBUTION SERVICES
- SMART SNACK
National Provider Directory
National Provider DirectoryLocations
8504 E Adamo Dr
Ste 115
Tampa, FL 33619
Phone (813) 898-8795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1346820107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291468",
"city": "TAMPA",
"state": "FL",
"postal_code": "336871468",
"telephone_number": "305-244-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8504 E ADAMO DR STE 115",
"city": "TAMPA",
"state": "FL",
"postal_code": "336193515",
"telephone_number": "813-898-8795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL G SNACKS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "ERNNEUS",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-244-5920",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALLIED DISTRIBUTION SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SMART SNACK",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.