Bhairavi Youngblood, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0038498 Issued in FL

Practice address

950 Immokalee Rd
Naples, FL 34110-4800

Phone

(239) 514-2049

Fax

(239) 514-3549

NPI assigned

Jan 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Bhairavi Youngblood Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1325376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325376000000",
    "number": "1356611867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341104800",
            "telephone_number": "239-514-2049",
            "fax_number": "239-514-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341104800",
            "telephone_number": "239-514-2049",
            "fax_number": "239-514-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "BHAIRAVI",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-01",
        "last_updated": "2012-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0038498",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF FLORIDA REGISTERED PHARMACIST LICENSE",
            "identifier": "PS0038948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHAIRAVI",
            "last_name": "YOUNGBLOOD",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Murray A Yost, MD
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• Carol Anne Young
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• Bradley Youngers, PA
• Amanda Youngsman, LMHC
• Younique Health & Wellness
• Your Dental LLC
• Your Ortho LLC

• Pharmacist in Naples, FL
• Providers in Naples, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.