Active NPI
Michael Paul Snider, PHARMACIST
- Pharmacist
- Summerfield, FL
National Provider Identifier
1629673298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59930
- Practice address
- 17817 SE 109TH Ave
Summerfield, FL 34491-8999 - Phone
- (352) 347-6616
- Fax
- (352) 347-6636
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- 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 | PS59930 | FL | Primary |
Addresses
Primary practice location
17817 SE 109TH Ave
Summerfield, FL 34491-8999
Mailing address
17817 SE 109TH Ave
Summerfield, FL 34491-8999
Phone (352) 347-6616
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 |
|---|---|---|---|
| PS59930 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1629673298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17817 SE 109TH AVE",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918999",
"telephone_number": "352-347-6616",
"fax_number": "352-347-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17817 SE 109TH AVE",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918999",
"telephone_number": "352-347-6616",
"fax_number": "352-347-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
- Sheridan Emergency Physician Services Inc
- Frances Antonina Shirley
- Skin Cancer Center of Central Florida, P.a.
- Casandra L Slavens, ARNP
- Page Armand Smith, M.D.
- Sourial Morris Sourial MD
- Sphinx Wellness Inc
- Summerfield Primary Care Associates
- Summerfield Rehabilitation Specialists
- Sunshine Anesthesia Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.