Active NPI
Jacob Schnaidt, PHARM.D.
- Pharmacist
- Modesto, CA
National Provider Identifier
1669774741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62081
- Practice address
- 3801 Pelandale Ave
Modesto, CA 95356-8300 - Phone
- (209) 342-4902
- NPI assigned
- Nov 23, 2010
- Sex
- Male
- 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 | 62081 | CA | Primary |
Addresses
Primary practice location
3801 Pelandale Ave
Modesto, CA 95356-8300
Mailing address
3801 Pelandale Ave
Modesto, CA 95356-8300
Other practice location 1
4647 Zion Avenue
Outpatient Pharmacy Room A
San Diego, CA 92120
Phone (619) 528-7770
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669774741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 PELANDALE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953568300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 PELANDALE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953568300",
"telephone_number": "209-342-4902"
}
],
"practiceLocations": [
{
"address_1": "4647 Zion Avenue",
"address_2": "Outpatient Pharmacy Room A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92120",
"country_code": "US",
"telephone_number": "619-528-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNAIDT",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.