Individual provider Active NPI

Daniel Chadbourn Sneeden, PHARMD

  • Pharmacist
  • Plymouth, MN
National Provider Identifier
1750646345
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119060 Issued in MN
Practice address
3195 Walnut Grove LN N
Plymouth, MN 55447-1021
Phone
(952) 388-9518
NPI assigned
Jul 10, 2012
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119060 MN Primary

Addresses

Primary practice location

3195 Walnut Grove LN N
Plymouth, MN 55447-1021

Mailing address

3195 Walnut Grove LN N
Plymouth, MN 55447-1021
Phone (952) 388-9518

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

LicenseStateTypeSpecialty
119060MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1750646345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 WALNUT GROVE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471021",
            "telephone_number": "952-388-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 WALNUT GROVE LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471021",
            "telephone_number": "952-388-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEEDEN",
        "first_name": "DANIEL",
        "middle_name": "CHADBOURN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.