SNP PHARMACY LLC NPI 1689789315

NPI Information

  • NPI: 1689789315
  • Provider Name: SNP PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: SKILLED NURSING PHARMACY
  • Address: 16666 E JOHNSON DR
    SUITE C
    CITY OF INDUSTRY, CA
    ZIP 91745
  • Phone: (626) 820-5814

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NPI Details

SNP PHARMACY LLC is a long term care pharmacy pharmacy in City Of Industry, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SNP PHARMACY LLC NPI is 1689789315. The provider is registered as an organization entity type.
The provider Is Doing Business As Skilled Nursing Pharmacy.

The provider's business location address is:

16666 E JOHNSON DR
SUITE C
CITY OF INDUSTRY, CA
ZIP 91745-412
Phone: (626) 820-5814
Fax: (626) 820-5815

The provider's authorized official is Mel Mendoza Ramos .
The authorized official title is Buss. Office Mgr and has the following contact phone number (626) 820-5814.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose (HCPCS:0002A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)
  • Adm sarscov2 vac ad26 .5ml b (HCPCS:0034A)
  • Adm sarscv2 30mcg trs-sucr 2 (HCPCS:0052A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, dna, spike protein, adenovirus type 26 (ad26) vector, preservative free, 5x1010 viral particles/0.5ml dosage, single dose (HCPCS:0031A)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyPHY49972CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHA454690MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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