Active NPI
Clifford A Young, RPH
- Geriatric Pharmacist
- Fresno, CA
National Provider Identifier
1164732178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RPH41107
- Practice address
- 7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350 - Phone
- (209) 631-3221
- NPI assigned
- Oct 12, 2010
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RPH41107 | CA | Primary |
Addresses
Primary practice location
7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350
Mailing address
7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350
Phone (209) 631-3221
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 |
|---|---|---|---|
| RPH41107 | CA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1164732178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 N CHESTNUT AVE",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200350",
"telephone_number": "209-631-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 N CHESTNUT AVE",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200350",
"telephone_number": "209-631-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CLIFFORD",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-12",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "RPH41107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.