NPIMap

Organization Active NPI

Yds Pharmacy Corporation

Doing business as Your Drug Store

  • Community/Retail Pharmacy
  • Hesperia, CA
National Provider Identifier
1336232768
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
YDS PHARMACY CORPORATION
Doing business as
Your Drug Store
Practice address
17079 Main St
Hesperia, CA 92345-6071
Phone
(760) 949-9310
Fax
(760) 949-9622
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Brandon Huynh, PHD
Title
Owner
Phone
(760) 949-9310

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY46836 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17079 Main St
Hesperia, CA 92345-6071

Mailing address

PO Box 1147
Rancho Cucamonga, CA 91729-1147
Phone (760) 949-9310

Other identifiers 2

IdentifierTypeStateIssuer
PHA468360MedicaidCA
5613903OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • YOUR DRUG STORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yds Pharmacy Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1336232768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917291147",
            "telephone_number": "760-949-9310",
            "fax_number": "760-949-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17079 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456071",
            "telephone_number": "760-949-9310",
            "fax_number": "760-949-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-949-9310",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46836",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5613903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUR DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.