Active NPI
Jennifer Youngblood, PHARM-D
- Pharmacist
- Marrero, LA
National Provider Identifier
1134434277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17940
- Practice address
- 4600 Westbank Expy
Marrero, LA 70072-3065 - Phone
- (504) 340-6337
- Fax
- (504) 340-1636
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17940 | LA | Primary |
Addresses
Primary practice location
4600 Westbank Expy
Marrero, LA 70072-3065
Mailing address
4600 Westbank Expy
Marrero, LA 70072-3065
Phone (504) 340-6337
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17940 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1134434277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 WESTBANK EXPY",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723065",
"telephone_number": "504-340-6337",
"fax_number": "504-340-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 WESTBANK EXPY",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723065",
"telephone_number": "504-340-6337",
"fax_number": "504-340-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "JENNIFER",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.