Individual provider Active NPI

Kevin Thomas Schneider

  • Pharmacist
  • Woodbury, NY
National Provider Identifier
1821822560
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
069988 Issued in NY
Practice address
415 Crossways Park Dr Ste B
Woodbury, NY 11797-2055
Phone
(516) 249-7436
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 069988 NY Primary

Addresses

Primary practice location

415 Crossways Park Dr Ste B
Woodbury, NY 11797-2055

Mailing address

25507 87TH Rd
Floral Park, NY 11001-1450
Phone (718) 781-6442

Other names 1

  • Kevin Schneider Other name

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

State licenses

LicenseStateTypeSpecialty
069988NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Total Compounding Centers, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

415 Crossways Park Dr
Ste B
Woodbury, NY 11797
Phone (516) 249-7436

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1821822560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 87TH RD",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011450",
            "telephone_number": "718-781-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CROSSWAYS PARK DR STE B",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972055",
            "telephone_number": "516-249-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "069988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "SCHNEIDER",
            "credential": "PHARM D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.