Active NPI
Bruce C Snipas, RPH
- Pharmacist
- Rego Park, NY
National Provider Identifier
1487941217
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33864
- Practice address
- 6352 Woodhaven Blvd
Rego Park, NY 11374-2856 - Phone
- (718) 651-1000
- Fax
- (718) 476-3776
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 33864 | NY | Primary |
Addresses
Primary practice location
6352 Woodhaven Blvd
Rego Park, NY 11374-2856
Mailing address
6352 Woodhaven Blvd
Rego Park, NY 11374-2856
Phone (718) 651-1000
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33864 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1487941217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6352 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742856",
"telephone_number": "718-651-1000",
"fax_number": "718-476-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6352 WOODHAVEN BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742856",
"telephone_number": "718-651-1000",
"fax_number": "718-476-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIPAS",
"first_name": "BRUCE",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "33864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.