Eric Shawn Youngblood, PHARM D
Individual provider Active NPI Pharmacist · Anchorage, AK
NPI 1386973246 · NPPES record last updated Dec 23, 2009
Key facts
- NPI
- 1386973246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1860 (AK)
- Practice address
- 2197 W Dimond Blvd
Anchorage, AK 99515-1457 - Phone
- (907) 339-9600
- Fax
- (907) 339-9985
- NPI assigned
- Dec 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1860 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1860 | AK | Yes |
Addresses
Primary practice location
2197 W Dimond Blvd
Anchorage, AK 99515-1457
Mailing address
2197 W Dimond Blvd
Anchorage, AK 99515-1457
Phone (907) 339-9600
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2009. 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.