Michael Youssef

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023994 Issued in GA

Practice address

441 Fair Rd
Statesboro, GA 30458-4913

Phone

(912) 489-0943

NPI assigned

Jul 2, 2022

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

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.

• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy LLC

  • Pharmacy
  • Statesboro, GA
  • NPI 1548504343
  NPD (past)

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1457084949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ACAPELLA AVE",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584913",
            "telephone_number": "912-489-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RPH023994",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Yocco, FNP
• Charlie Brooke York
• Lauren Young
• Reann Daria Young
• Sally Young, DMD
• Youtherapy
• Sae Young Yu, O.D.
• Patricia Zambeck
• Lane Peyton Zeagler
• Michelle R Zeanah, M.D.

• Pharmacist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; 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.