Active NPI
Jeanette Young, RPH
- Pharmacist
- Bethlehem, PA
National Provider Identifier
1477140713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP035743L
- Practice address
- 4422 Green Pond Rd
Bethlehem, PA 18020-9510 - Phone
- (484) 695-1206
- NPI assigned
- Dec 21, 2020
- Last updated
- Dec 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP035743L | PA | Primary |
Addresses
Primary practice location
4422 Green Pond Rd
Bethlehem, PA 18020-9510
Mailing address
4422 Green Pond Rd
Bethlehem, PA 18020-9510
Phone (484) 695-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP035743L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJ Professionals, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1477140713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 GREEN POND RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180209510",
"telephone_number": "484-695-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 GREEN POND RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180209510",
"telephone_number": "484-695-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JEANETTE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035743L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.