Active NPI
John Dennis Snider IV, PHARMD.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Roseville, CA
National Provider Identifier
1639734460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10536
- Practice address
- Sutter Roseville Medical Center Emergency Department
1 Medical Plaza Dr
Roseville, CA 95661-3037 - Phone
- (916) 781-1800
- NPI assigned
- May 7, 2019
- Last updated
- Jun 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64173 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10536 | CA | Primary |
Addresses
Primary practice location
Sutter Roseville Medical Center Emergency Department
1 Medical Plaza Dr
Roseville, CA 95661-3037
Mailing address
Sutter Roseville Medical Center Emergency Department
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 781-1800
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10536 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1639734460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUTTER ROSEVILLE MEDICAL CENTER EMERGENCY DEPARTMENT",
"address_2": "1 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "916-781-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUTTER ROSEVILLE MEDICAL CENTER EMERGENCY DEPARTMENT",
"address_2": "1 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "916-781-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JOHN",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64173",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "10536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.