Individual provider Active NPI

Jeffrey E Young, RPH

  • Pharmacist
  • Nokomis, FL
National Provider Identifier
1043784291
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS21933 Issued in FL
Practice address
1095 Tamiami TRL N Ste B
Nokomis, FL 34275-2117
Phone
(941) 488-8800
Fax
(941) 488-8802
NPI assigned
Jan 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS21933 FL Primary

Addresses

Primary practice location

1095 Tamiami TRL N Ste B
Nokomis, FL 34275-2117

Mailing address

1095 Tamiami TRL N Ste B
Nokomis, FL 34275-2117
Phone (941) 488-8800

Other practice location 1

900 Pine St Ste 211
Englewood, FL 34223-4454
Phone (941) 475-3784

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS21933FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
General Apothecaries, Inc. Pharmacist Current Accepting new patients
General Apothecaries, Inc Current Accepting new patients
Village Pharmacy of Nokomis LLC Current Accepting new patients

Locations

900 Pine St
Ste 211
Englewood, FL 34223
Phone (941) 475-3784

1095 Tamiami Trl N
Ste B
Nokomis, FL 34275
Phone (941) 488-8800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1043784291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 TAMIAMI TRL N STE B",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752117",
            "telephone_number": "941-488-8800",
            "fax_number": "941-488-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 TAMIAMI TRL N STE B",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752117",
            "telephone_number": "941-488-8800",
            "fax_number": "941-488-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Pine St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342234454",
            "country_code": "US",
            "telephone_number": "941-475-3784",
            "fax_number": "941-460-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.