Active NPI
Amelia Young, PHARM.D.
- Pharmacist
- Muscle Shoals, AL
National Provider Identifier
1285061358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15039
- Practice address
- 3401 Woodward Ave
Muscle Shoals, AL 35661-3541 - Phone
- (256) 381-0631
- Fax
- (256) 381-0636
- NPI assigned
- Oct 3, 2013
- Last updated
- Oct 3, 2013
- Sex
- Female
- 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 | 15039 | AL | Primary |
Addresses
Primary practice location
3401 Woodward Ave
Muscle Shoals, AL 35661-3541
Mailing address
64 Cascade Dr
Florence, AL 35633
Phone (256) 760-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15039 | Other | AL | ALABAMA BOARD OF PHARMACY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15039 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1285061358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CASCADE DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35633",
"telephone_number": "256-760-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 WOODWARD AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356613541",
"telephone_number": "256-381-0631",
"fax_number": "256-381-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "AMELIA",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF PHARMACY",
"identifier": "15039",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.