Individual provider Active NPI

Kaitlyn Leann Young

  • Pharmacist
  • Parsons, KS
National Provider Identifier
1063259398
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-109466 Issued in KS
Practice address
1519 Main St
Parsons, KS 67357-3381
Phone
(620) 421-4950
Fax
(620) 421-9252
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-109466 KS Primary

Addresses

Primary practice location

1519 Main St
Parsons, KS 67357-3381

Mailing address

602 S 25TH St
Parsons, KS 67357-4100
Phone (620) 423-4313

Other practice location 1

1902 S US Highway 59 Ste 100
Parsons, KS 67357-4948
Phone (620) 421-1700

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

State licenses

LicenseStateTypeSpecialty
1-109466KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1063259398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S 25TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574100",
            "telephone_number": "620-423-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 MAIN ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673573381",
            "telephone_number": "620-421-4950",
            "fax_number": "620-421-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 S US Highway 59 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Parsons",
            "state": "KS",
            "postal_code": "673574948",
            "country_code": "US",
            "telephone_number": "620-421-1700",
            "fax_number": "620-421-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAITLYN",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-109466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.