Nelda Young Young, PHARMACIST

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

5107 Issued in TN

Practice address

670 Skyline Dr
Jackson, TN 38301-3934

Phone

(731) 425-6536

Fax

(731) 425-4931

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306050653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10715",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080111",
            "telephone_number": "731-668-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013934",
            "telephone_number": "731-425-6536",
            "fax_number": "731-425-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NELDA",
        "middle_name": "YOUNG",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TN",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Young, CRNA
• Ginger Lynn Young, PT
• James Bryant Young, D.D.S.
• Jeffrey W Young, APN
• Jordan Leigh Young, SLP
• Robert Steven Young Sr., D.PH.
• Stephanie J Young, MSN, APRN, NP-C
• Amy Lynn Youngblood, R.D.
• Anna K Younger, APRN
• Andrew Yousef, MD

• Geriatric Pharmacist in Jackson, TN
• Providers in Jackson, TN by specialty
• Geriatric Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.