Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ED SNELL RPH
NPI 1104828870
Pharmacist - Nutrition Support in Pocatello, ID

Active since August 12, 2005CLIA 13D0897039 · Waiver
1015 E YOUNG ST, POCATELLO, ID 83201(208) 232-0049(208) 232-3963 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ed Snell Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ED SNELL RPH (NPI 1104828870) is an individual nutrition support provider in Pocatello, Idaho, licensed in Idaho (P4033) and active in the NPI registry since August 2005. He holds a CLIA Waiver certificate valid through January 25, 2027.

NPPES Registry Identity

NPI1104828870
Entity TypeIndividualMale
Primary Taxonomy1835N1003X
Provider Legal NameED SNELLCredential: RPH
Location Address1015 E YOUNG STPocatello, ID 83201-5282
Mailing Address1015 E Young StPocatello, ID 83201-5282 · (208) 232-0049 · Fax (208) 232-3963
Fax(208) 232-3963
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1104828870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License Licensed in ID · P4033
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
1015 E YOUNG ST, Pocatello, ID 83201

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0897039

Ed Snell's Pharmacy Shop · Pocatello, ID
Active · expires Jan 25, 2027
CLIA Number13D0897039
Laboratory TypePharmacy
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorYazmin Frodin
Laboratory Phone(208) 232-0049
Laboratory LocationEd Snell's Pharmacy Shop1015 E Young St, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1015 E YOUNG ST
POCATELLO, ID 83201
Pharmacy (Community/Retail Pharmacy)
1015 E YOUNG ST
POCATELLO, ID 83201
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1015 E YOUNG ST
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ed Snell's NPI number?

The NPI number for Ed Snell is 1104828870. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Ed Snell located?

Ed Snell practices at 1015 E Young St, Pocatello, ID 83201. The listed phone number is (208) 232-0049.

What is Ed Snell's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

Does Ed Snell hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0897039) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ed Snell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.