Active NPI
Kelsey Snyder, PHARMD
- Pharmacist
- Marysville, WA
National Provider Identifier
1467051847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61069307
- Practice address
- 16616 Twin Lakes Ave
Marysville, WA 98271-4701 - Phone
- (360) 652-4539
- NPI assigned
- Oct 18, 2020
- 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 | PH61069307 | WA | Primary |
Addresses
Primary practice location
16616 Twin Lakes Ave
Marysville, WA 98271-4701
Mailing address
16616 Twin Lakes Ave
Marysville, WA 98271-4701
Phone (360) 652-4539
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 |
|---|---|---|---|
| PH61069307 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1467051847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16616 TWIN LAKES AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982714701",
"telephone_number": "360-652-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16616 TWIN LAKES AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982714701",
"telephone_number": "360-652-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "KELSEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-18",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61069307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.