New Prague Snyders Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260750 Issued in MN

Legal business name

NEW PRAGUE SNYDERS INC

Practice address

130 Main St W
New Prague, MN 56071-2334

Phone

(952) 758-3132

Fax

(612) 758-8754

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Clork, RPH

Title

President

Phone

(952) 758-3132

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MCMAHON SNYDER DRUG Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1386737898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST W",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST W",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712334",
            "telephone_number": "952-758-3132",
            "fax_number": "612-758-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PRAGUE SNYDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "CLORK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-758-3132",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2419489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCMAHON SNYDER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Syokau Mule
• Sharon Mullen
• New Prague Counseling
• New Prague Dental Center
• New Prague Senior Living Operations
• Amy Lynn O'Neill, R.PH.
• Michael Patrick O'Rourke, MD
• Timothy Olson, PHARM.D.
• Omega Medical Supply, LLC
• Optimal Sports Physical Therapy,LLC

• Community/Retail Pharmacy in New Prague, MN
• Providers in New Prague, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.