SNP Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49972 Issued in CA

Legal business name

SNP PHARMACY LLC

Doing business as

Skilled Nursing Pharmacy

Practice address

16666 E Johnson Dr
Suite C
City of Industry, CA 91745-2412

Phone

(626) 820-5814

Fax

(626) 820-5815

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mel Mendoza Ramos

Title

Buss. Office MGR

Phone

(626) 820-5814

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SKILLED NURSING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

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

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy Hayward

  • Long Term Care Pharmacy
  • Hayward, CA
  • NPI 1336331677

  0648480574

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy Hayward

  • Long Term Care Pharmacy
  • Hayward, CA
  • NPI 1336331677

  O20201009000974, O20210922003296

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

SNP Pharmacy LLC2 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.

• SNP Pharmacy LLC

  dba Skilled Nursing Pharmacy Hayward

  • Long Term Care Pharmacy
  • Hayward, CA
  • NPI 1336331677
  NPD tax ID

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1689789315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16666 E JOHNSON DR",
            "address_2": "SUITE C",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917452412",
            "telephone_number": "626-820-5814",
            "fax_number": "626-820-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16666 E JOHNSON DR",
            "address_2": "SUITE C",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917452412",
            "telephone_number": "626-820-5814",
            "fax_number": "626-820-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "BUSS. OFFICE MGR",
        "authorized_official_telephone_number": "626-820-5814"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA454690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKILLED NURSING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKILLED NURSING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Destiney Singleton
• Michelle Sirisuk, DPT
• Muhammad Hassan Sizar, D.O.
• Sierra Smethurst
• Deeryka Asante Smith
• Kayla Victoria Solis
• Hwa Young Song
• James H Song, M.D.
• Kanika Sood
• Joanna Soto

• Long Term Care Pharmacy in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.