Organization Active NPI

Youngs Family Market LLC

Doing business as Youngs Pharmacy

  • Pharmacy
  • Laurelville, OH
National Provider Identifier
1427031202
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02-1323500 Issued in OH
Legal business name
YOUNGS FAMILY MARKET LLC
Doing business as
Youngs Pharmacy
Practice address
15986 State Route 56 E
Laurelville, OH 43135-9741
Phone
(740) 332-1833
Fax
(740) 332-1933
NPI assigned
Nov 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Mr. Brad Young
Title
Owner
Phone
(740) 332-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02-1323500 OH Primary

Addresses

Primary practice location

15986 State Route 56 E
Laurelville, OH 43135-9741

Mailing address

PO Box 97
Laurelville, OH 43135-0097
Phone (740) 332-1833

Other identifiers 1

IdentifierTypeStateIssuer
2335173MedicaidOH

Other names 1

  • Youngs Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066960 OH DME Supplier - PharmacyDME Supplier - Grocery Store 3274748751 Practice locations: Laurelville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Youngs Family Market LLC15986 State Route 56, Laurelville, OH 43135-0047(740) 332-1833 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 20, 2002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1427031202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "LAURELVILLE",
            "state": "OH",
            "postal_code": "431350097",
            "telephone_number": "740-332-1833",
            "fax_number": "740-332-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15986 STATE ROUTE 56 E",
            "city": "LAURELVILLE",
            "state": "OH",
            "postal_code": "431359741",
            "telephone_number": "740-332-1833",
            "fax_number": "740-332-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS FAMILY MARKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-332-1833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02-1323500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youngs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurelville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.