Jewel Sophia Younge, MA, MAT, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051300661 Issued in IL

Practice address

10900 S Doty Ave
Chicago, IL 60628-3804

Phone

(773) 344-9061

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1326554460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 S DREXEL AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153722",
            "telephone_number": "312-218-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 S DOTY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283804",
            "telephone_number": "773-344-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGE",
        "first_name": "JEWEL",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MA, MAT, PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "051300661",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zetah Young, LCPC
• Jeffre Katherine Youngblood, COTA/L
• Mark Youngblood, MD, PHD
• Terese Youngblood, LCSW
• Timberly Youngblood, DT
• Scot James Younger, ATC
• Christian Younginer, LPC
• Jonathan Michael Youngner, M.D.
• Laura Youngren, MA, CCC-SLP
• Amjad A. Younis, M.D

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.