NPIMap

Organization Active NPI

Sniteman Inc

Doing business as Sniteman Pharmacy

  • Community/Retail Pharmacy
  • Neillsville, WI
National Provider Identifier
1679687669
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SNITEMAN INC
Doing business as
Sniteman Pharmacy
Practice address
N3708 River Ave Ste a
Neillsville, WI 54456-7218
Phone
(715) 743-3500
Fax
(715) 743-5060
NPI assigned
Aug 18, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin Lea Weiler-Nytes, PHARMDNPI 1679812614
Title
Pharmacist in Charge
Phone
(715) 743-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

N3708 River Ave Ste a
Neillsville, WI 54456-7218

Mailing address

N3708 River Ave Ste a
Neillsville, WI 54456-7218
Phone (715) 743-3500

Other identifiers 3

IdentifierTypeStateIssuer
2111747OtherPK
33166700MedicaidWI
9672OtherWISTATE OF WISCONSIN

Other names 1

  • SNITEMAN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20110106000434 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1557550563 Practice locations: Neillsville, WI
O20170109002674 WI DME Supplier - Pharmacy 1557550563 Practice locations: Neillsville, WI
O20221011001355 WI Part B Supplier - Pharmacy 1557550563 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Neillsville, WI
O20230522001868 WI MDPP Supplier - in-Person MDPP Supplier 1557550563 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Neillsville, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sniteman Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

528 Hewett St
Neillsville, WI 54456
Phone (715) 743-3500

N3708 River Ave
Ste A
Neillsville, WI 54456
Phone (715) 743-3101

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1679687669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3708 RIVER AVE STE A",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544567218",
            "telephone_number": "715-743-3500",
            "fax_number": "715-743-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3708 RIVER AVE STE A",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544567218",
            "telephone_number": "715-743-3500",
            "fax_number": "715-743-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNITEMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "WEILER-NYTES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "715-743-3500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111747",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33166700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "9672",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNITEMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SNITEMAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neillsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.