Dawn Young
Individual provider Active NPI Pharmacist · Valley, NE
NPI 1124669429 · NPPES record last updated Oct 8, 2019
Key facts
- NPI
- 1124669429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10719 (NE)
- Practice address
- 123 E Gardiner St
Valley, NE 68064-9798 - Phone
- (402) 359-2284
- Fax
- (402) 359-2285
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10719 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10719 | NE | Yes |
Addresses
Primary practice location
123 E Gardiner St
Valley, NE 68064-9798
Mailing address
123 E Gardiner St
PO Box 400
Valley, NE 68064
Phone (402) 359-2284
Other providers in Valley, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.