Bryan Victor Schneider, PHARM D
Individual provider Active NPI Pharmacist · Iowa City, IA
NPI 1528343308 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1528343308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24715 (IA)
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 353-8638
- NPI assigned
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24715 | IA | MD | Pharmacist |
| 051.294187 | IL | MD | Pharmacist |
| 2010023009 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Groceries of Southern Illinois LLC | Past |
Accepting new patients | |
| Groceries of Southern Illinois, LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2010023009 | MO | |
| Pharmacist | 183500000X | 051.294187 | IL | |
| Pharmacist | 183500000X | 24715 | IA | Yes |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-8638
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.