Youngs Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12660 Issued in AL

Legal business name

YOUNGS DRUG STORE LLC

Doing business as

Young Drug Store

Practice address

88960 Hwy 9
Lineville, AL 36266

Phone

(256) 396-5632

Fax

(256) 396-5142

NPI assigned

Aug 18, 2006

Last updated

Jan 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Smith, RPH

Title

MNGR, Owner

Phone

(256) 396-5632

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• YOUNG DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin D Brown, PHARMD

  • Pharmacist
  • Lineville, AL
  • NPI 1215527155
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1184738148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "LINEVILLE",
            "state": "AL",
            "postal_code": "362660067",
            "telephone_number": "256-396-5632",
            "fax_number": "256-396-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88960 HWY 9",
            "city": "LINEVILLE",
            "state": "AL",
            "postal_code": "36266",
            "telephone_number": "256-396-5632",
            "fax_number": "256-396-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MNGR, OWNER",
        "authorized_official_telephone_number": "256-396-5632",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "12660",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1988812",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003274",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUNG DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Alabama Department of Public Health (Clay County Home Care)
• State of Alabama Department of Public Health (Clay County Home Care)
• State of Alabama Department of Public Health (Clay County Home Care)
• State of Alabama Department of Public Health (Clay County Health Dept Flu-Pneu)
• Robert E Steele, D.C.

• Community/Retail Pharmacy in Lineville, AL
• Providers in Lineville, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.