David Yang, R.PH.
Individual provider Active NPI Pharmacist · Red Mesa, AZ
NPI 1326211004 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1326211004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17421 (CO)
- Practice address
- US Hwy 160 & Navajo Route 35
Red Mesa, AZ 86514 - Phone
- (928) 656-5270
- NPI assigned
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17421 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17421 | CO | Yes |
Addresses
Primary practice location
US Hwy 160 & Navajo Route 35
Red Mesa, AZ 86514
Mailing address
HC 61 Box 3010
Teec Nos Pos, AZ 86514-9604
Other providers in Red Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.