Douglas Yoch, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

08410 Issued in NC

Legal business name

DOUGLAS YOCH, INC.

Practice address

3120 Latrobe Dr.
Suite 200
Charlotte, NC 28211

Phone

(704) 370-6612

Fax

(704) 375-5888

NPI assigned

Jul 10, 2008

Organization subpart

Yes

Parent organization

DOUGLAS YOCH, INC.As reported in NPPES

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

Authorized official

Name

Dr. Douglas R. Yoch, PHARMD

Title

President

Phone

(704) 370-6612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stanley Specialty Pharmacy Doing business as

Part of

Douglas Yoch Inc

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1265696199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LATROBE DR.",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-370-6612",
            "fax_number": "704-375-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LATROBE DR.",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-370-6612",
            "fax_number": "704-375-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS YOCH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS YOCH, INC.",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "YOCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-370-6612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "08410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3402257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanley Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Mary Dougherty, CCC-SLP
• Ndome Chavone Dougherty, ANP-C
• Regan Dougherty
• Richard Allen Dougherty, MD
• Jenny L Doughty, PHARMD
• Arianna Lee Douglas
• Brittany Marie Douglas, BCBA
• Camellia Douglas, PMHNP
• Georgianne Douglas, PHARMD
• Heather L Douglas, LCSW

• Compounding Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Compounding Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.