Active NPI
Nicole Marie Snow, PHARMD
- Pharmacist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22489
- Practice address
- 1100 Revolution Mill Dr # 10
Greensboro, NC 27405-5067 - Phone
- (336) 285-7985
- NPI assigned
- Jun 24, 2012
- Last updated
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22489 | NC | Primary |
Addresses
Primary practice location
1100 Revolution Mill Dr # 10
Greensboro, NC 27405-5067
Mailing address
7640 Made Rd
Walnut Cove, NC 27052
Phone (336) 553-7193
Other practice location 1
3750 Admiral Dr Ste 101
High Point, NC 27265-1556
Phone (336) 841-8500
Other practice location 2
104 W Medical Park Dr
Lexington, NC 27292-6773
Phone (336) 244-0931
Other practice location 3
2325 Randleman Rd
Greensboro, NC 27406-3603
Phone (336) 617-2377
Other practice location 4
3231 Yanceyville St
Greensboro, NC 27405-4043
Phone (336) 358-1528
Other practice location 5
1215 W Clemmonsville Rd Ste C
Winston Salem, NC 27127-4522
Phone (336) 300-8855
Other practice location 6
2510 W Gate City Blvd
Greensboro, NC 27403-3142
Phone (336) 841-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700433 | Other | NC | NCBOP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22489 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Rock Internal Medicine | Past | Accepting new patients | |
| Alpha Clinics, PA | Past | Accepting new patients | |
| Alpha Primary Care | Past | Accepting new patients | |
| Palladium Primary Care Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1326364837
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1518283613
-
- Adult Health Nurse Practitioner
- Lexington, NC
- NPI 1093267577
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1699047514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1962765925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7640 MADE RD",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "27052",
"telephone_number": "336-553-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 REVOLUTION MILL DR # 10",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055067",
"telephone_number": "336-285-7985"
}
],
"practiceLocations": [
{
"address_1": "3750 Admiral Dr Ste 101",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272651556",
"country_code": "US",
"telephone_number": "336-841-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 W Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "NC",
"postal_code": "272926773",
"country_code": "US",
"telephone_number": "336-244-0931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2325 Randleman Rd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274063603",
"country_code": "US",
"telephone_number": "336-617-2377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3231 Yanceyville St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274054043",
"country_code": "US",
"telephone_number": "336-358-1528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 W Clemmonsville Rd Ste C",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271274522",
"country_code": "US",
"telephone_number": "336-300-8855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2510 W Gate City Blvd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274033142",
"country_code": "US",
"telephone_number": "336-841-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNOW",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-24",
"last_updated": "2023-09-25",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBOP",
"identifier": "700433",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Melina Sneesby, M.A.
- Cynthia B. Snider, M.D., MPH
- Stacey Snipes
- Kara Snodgrass
- Susan D Snodgrass, PTA
- Peter Snow, NP
- Robert Snow
- Snowshoe LTC Group, LLC (Maple Grove Health and Rehabilitation Center)
- Snowshoe LTC Group, LLC (Maple Grove Health and Rehabilitation Center)
- Snowshoe LTC Group, LLC (Greenhaven Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.