Healthcare Provider Details

I. General information

NPI: 1679907208
Provider Name (Legal Business Name): COREY SCHNEIDER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13180 METCALF AVE
OVERLAND PARK KS
66213-2808
US

IV. Provider business mailing address

13180 METCALF AVE
OVERLAND PARK KS
66213-2808
US

V. Phone/Fax

Practice location:
  • Phone: 913-749-1511
  • Fax: 913-905-3027
Mailing address:
  • Phone: 913-749-1511
  • Fax: 913-905-3027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2013019549
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: