Hubbard Young Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50004274 Issued in SC

Legal business name

HUBBARD YOUNG PHARMACY INC

Practice address

402 College Ave
Clemson, SC 29631-2923

Phone

(864) 654-1771

Fax

(864) 654-1772

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Thomas H Teasley, PHARMDNPI 1629416839

Title

President

Phone

(864) 654-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Henry Teasley, PHARMD

  • Pharmacist
  • Clemson, SC
  • NPI 1629416839
  NPD Authorized official
• Stephen Ansel, PHARMD

  • Pharmacist
  • Clemson, SC
  • NPI 1588436372
  NPD (past)
• Corey Clardy, PHARMD

  • Pharmacist
  • Easley, SC
  • NPI 1942695614
  NPD (past)
• Samuel David Rentz, PHARMD

  • Pharmacist
  • Clemson, SC
  • NPI 1932839412
  NPD (past)
• Susie C. Swann

  • Pharmacist
  • Clemson, SC
  • NPI 1558483453
  NPD (past)
• Laura Wagner

  • Pharmacist
  • Clemson, SC
  • NPI 1255452074
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1083727630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312923",
            "telephone_number": "864-654-1771",
            "fax_number": "864-654-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312923",
            "telephone_number": "864-654-1771",
            "fax_number": "864-654-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD YOUNG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-654-1771",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50004274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716906",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Honea, NP
• Ricardo C Hood, MD
• Stephanie Alys Hoppe, AGACNP-BC
• William Elbert Horton, RPH
• Andrew Joseph Hovanec, DPT
• Robert C. Hubbard III
• Tanya Hyatt, PT
• Brent Illingworth
• Ingles Markets Inc
• Zelma Izlar

• Community/Retail Pharmacy in Clemson, SC
• Providers in Clemson, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.