Organization Active NPI

Am Schneider PA

Doing business as Pro Pharmacy

  • Community/Retail Pharmacy
  • Mahtomedi, MN
National Provider Identifier
1497743454
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263462 Issued in MN
Legal business name
AM SCHNEIDER PA
Doing business as
Pro Pharmacy
Practice address
357 Quail St
Mahtomedi, MN 55115-1455
Phone
(612) 221-8189
Fax
(651) 698-6232
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Anne SchneiderNPI 1225144207
Title
President/Owner
Phone
(651) 698-0825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 263462 MN Primary

Addresses

Primary practice location

357 Quail St
Mahtomedi, MN 55115-1455

Mailing address

242 Cleveland Ave S
Saint Paul, MN 55105-1242
Phone (651) 698-0825

Other identifiers 1

IdentifierTypeStateIssuer
2128115OtherPK

Other names 1

  • Pro Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

242 Cleveland Ave S
Saint Paul, MN 55105
Phone (651) 698-0825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1497743454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051242",
            "telephone_number": "651-698-0825",
            "fax_number": "651-698-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 QUAIL ST",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151455",
            "telephone_number": "612-221-8189",
            "fax_number": "651-698-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM SCHNEIDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "651-698-0825"
    },
    "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": "263462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mahtomedi, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.