Active NPI
James Young, RPH
- Pharmacist
- Lubbock, TX
National Provider Identifier
1164076253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24904
- Practice address
- 2630 Parkway Dr
Lubbock, TX 79403-4100 - Phone
- (806) 765-7014
- Fax
- (806) 765-8578
- NPI assigned
- Jul 28, 2019
- Sex
- Male
- 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 | 24904 | TX | Primary |
Addresses
Primary practice location
2630 Parkway Dr
Lubbock, TX 79403-4100
Mailing address
6023 87TH St
Lubbock, TX 79424-3696
Phone (806) 794-1881
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24904 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Supermarkets LLC | Past | Accepting new patients | |
| United Supermarkets LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Lubbock, TX
- NPI 1427049949
-
- Community/Retail Pharmacy
- Rio Rancho, NM
- NPI 1346061900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1164076253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6023 87TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243696",
"telephone_number": "806-794-1881",
"fax_number": "806-765-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 PARKWAY DR",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794034100",
"telephone_number": "806-765-7014",
"fax_number": "806-765-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-28",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.