Active NPI
Randall Theodore Young, RPH
- Pharmacist
- Brownsville, KY
National Provider Identifier
1306954706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011609
- Practice address
- 1571 Ky Highway 259 N
Brownsville, KY 42210-9206 - Phone
- (270) 597-9514
- Fax
- (270) 597-3232
- NPI assigned
- Aug 26, 2006
- Last updated
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 011609 | KY | Primary |
Addresses
Primary practice location
1571 Ky Highway 259 N
Brownsville, KY 42210-9206
Mailing address
1571 Ky Highway 259 N
PO Box 540
Brownsville, KY 42210-9206
Phone (270) 597-9514
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 |
|---|---|---|---|
| 011609 | KY | MD | Pharmacist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1306954706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 KY HIGHWAY 259 N",
"address_2": "PO BOX 540",
"city": "BROWNSVILLE",
"state": "KY",
"postal_code": "422109206",
"telephone_number": "270-597-9514",
"fax_number": "270-597-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 KY HIGHWAY 259 N",
"city": "BROWNSVILLE",
"state": "KY",
"postal_code": "422109206",
"telephone_number": "270-597-9514",
"fax_number": "270-597-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RANDALL",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.