Active NPI
Joseph Lee Young, R.PH
- Pharmacist
- Marshall, MI
National Provider Identifier
1215037783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302021789
- Practice address
- 200 N Madison St
Marshall, MI 49068-1143 - Phone
- (269) 789-8999
- Fax
- (269) 789-3975
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302021789 | MI | Primary |
Addresses
Primary practice location
200 N Madison St
Marshall, MI 49068-1143
Mailing address
101 Glenview CT
Battle Creek, MI 49014
Phone (269) 969-9003
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 |
|---|---|---|---|
| 5302021789 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1215037783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GLENVIEW CT",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49014",
"telephone_number": "269-969-9003",
"fax_number": "269-789-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MADISON ST",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681143",
"telephone_number": "269-789-8999",
"fax_number": "269-789-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOSEPH",
"middle_name": "LEE",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302021789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.