Active NPI
Jesse Raymond Snyder, PHARM.D.
- Pharmacist
- Huntsville, TX
National Provider Identifier
1649649161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52313
- Practice address
- 2400 Avenue I
Huntsville, TX 77340-5830 - Phone
- (936) 437-5300
- Fax
- (936) 437-5311
- NPI assigned
- Sep 15, 2015
- 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 | 52313 | TX | Primary |
Addresses
Primary practice location
2400 Avenue I
Huntsville, TX 77340-5830
Mailing address
2400 Avenue I
Huntsville, TX 77340-5830
Phone (936) 437-5300
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 |
|---|---|---|---|
| 52313 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Institutional Pharmacy
- Huntsville, TX
- NPI 1770525305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1649649161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 AVENUE I",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773405830",
"telephone_number": "936-437-5300",
"fax_number": "936-437-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 AVENUE I",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773405830",
"telephone_number": "936-437-5300",
"fax_number": "936-437-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "JESSE",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.