Active NPI
Jane Anne Snider, R.PH.
- Pharmacist
- Battle Creek, MI
National Provider Identifier
1417515172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027293
- Practice address
- 18 Michigan Ave W
Battle Creek, MI 49017-3600 - Phone
- (269) 753-1440
- Fax
- (269) 753-1456
- NPI assigned
- May 29, 2019
- 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 | 5302027293 | MI | Primary |
Addresses
Primary practice location
18 Michigan Ave W
Battle Creek, MI 49017-3600
Mailing address
10101 Barnes Rd
Eaton Rapids, MI 48827-9235
Phone (517) 648-2632
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2380335 | Other | MI | NABP |
| 1629469036 | Other | MI | NPI PRIMARY WORK SITE |
| 5301011019 | Other | MI | PRIMARY WORK SITE STORE LICENSE |
| 5302027293 | Other | MI | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027293 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1417515172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 BARNES RD",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488279235",
"telephone_number": "517-648-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MICHIGAN AVE W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173600",
"telephone_number": "269-753-1440",
"fax_number": "269-753-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JANE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2380335",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI PRIMARY WORK SITE",
"identifier": "1629469036",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY WORK SITE STORE LICENSE",
"identifier": "5301011019",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5302027293",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.