Serena Young, PHARMD
Individual provider Active NPI Pharmacist · Corcoran, CA
NPI 1508627787 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1508627787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 88819 (CA)
- Practice address
- 4001 King Ave
Corcoran, CA 93212-9611 - Phone
- (559) 992-8800
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 88819 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current |
Accepting new patients | |
| CSP-Corcoran | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 88819 | CA | Yes |
Addresses
Primary practice location
4001 King Ave
Corcoran, CA 93212-9611
Mailing address
308 Ohlones St
Fremont, CA 94539-5722
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. 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.