Active NPI
Ed Snell's Pharmacy Shop
- Community/Retail Pharmacy
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P4033
- Legal business name
- ED SNELL'S PHARMACY SHOP
- Practice address
- 1015 E Young St
Pocatello, ID 83201-5282 - Phone
- (208) 232-0049
- Fax
- (208) 232-3963
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 5, 2008
- 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
- Mr. Ed Snell, RPH, CCN
- Title
- President
- Phone
- (208) 232-0049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P4033 | ID | Primary |
Addresses
Primary practice location
1015 E Young St
Pocatello, ID 83201-5282
Mailing address
1015 E Young St
Pocatello, ID 83201-5282
Phone (208) 232-0049
National Provider Directory
National Provider Directory- Tax ID family
- Pharmacy Shop Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Snells IV & Compounding Center
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1679639462
Locations
1015 E Young St
Pocatello, ID 83201
Phone (208) 232-0049
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nutrition Support Pharmacist
- Pocatello, ID
- NPI 1104828870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1356367486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 E YOUNG ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015282",
"telephone_number": "208-232-0049",
"fax_number": "208-232-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E YOUNG ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015282",
"telephone_number": "208-232-0049",
"fax_number": "208-232-3963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ED SNELL'S PHARMACY SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "SNELL",
"authorized_official_first_name": "ED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-232-0049",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH, CCN"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ID",
"license": "P4033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.