Individual provider Active NPI

Nicole Marie Snow, PHARMD

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1962765925
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22489 Issued in NC
Practice address
1100 Revolution Mill Dr # 10
Greensboro, NC 27405-5067
Phone
(336) 285-7985
NPI assigned
Jun 24, 2012
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
700433OtherNCNCBOP

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
22489NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Mar 3, 2012 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.

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

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.

Verify at the official NPI Registry.