Individual provider Active NPI

Mary Snyder, PHARMD, RPH

  • Pharmacist
  • Cambridge, OH
National Provider Identifier
1902188113
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03228160 Issued in OH
Practice address
1300 Clark St
Cambridge, OH 43725-8875
Phone
(740) 255-5844
Fax
(740) 255-5872
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03228160 OH Primary

Addresses

Primary practice location

1300 Clark St
Cambridge, OH 43725-8875

Mailing address

1300 Clark St
Cambridge, OH 43725-8875
Phone (740) 255-5844

Other practice location 1

4617 E Main St
Whitehall, OH 43213-3298
Phone (614) 868-1224

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03228160OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1902188113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437258875",
            "telephone_number": "740-255-5844",
            "fax_number": "740-255-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437258875",
            "telephone_number": "740-255-5844",
            "fax_number": "740-255-5872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 E Main St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "OH",
            "postal_code": "432133298",
            "country_code": "US",
            "telephone_number": "614-868-1224",
            "fax_number": "614-868-5076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MARY",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03228160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.