Active NPI
Amy Misun Schnaidt
- Pharmacist
- Sacramento, CA
National Provider Identifier
1588098107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62306
- Practice address
- 3881 E Commerce Way
Sacramento, CA 95834-4017 - Phone
- (916) 265-9604
- Fax
- (916) 265-9595
- NPI assigned
- Aug 30, 2013
- Sex
- Female
- 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 | 62306 | CA | Primary |
Addresses
Primary practice location
3881 E Commerce Way
Sacramento, CA 95834-4017
Mailing address
2440 Daniels St
Costco Pharmacy Department
Manteca, CA 95337-6745
Phone (209) 825-8209
Other names 1
- Amy Misun Yon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62306 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1588098107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 DANIELS ST",
"address_2": "COSTCO PHARMACY DEPARTMENT",
"city": "MANTECA",
"state": "CA",
"postal_code": "953376745",
"telephone_number": "209-825-8209",
"fax_number": "209-825-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3881 E COMMERCE WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958344017",
"telephone_number": "916-265-9604",
"fax_number": "916-265-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNAIDT",
"first_name": "AMY",
"middle_name": "MISUN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "YON",
"middle_name": "MISUN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.