Organization Active NPI

Youngs Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, KY
National Provider Identifier
1578609582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
YOUNGS PHARMACY
Practice address
150 Main St
Mount Vernon, KY 40456-2239
Phone
(606) 256-4613
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy Young
Title
RPH Owner
Phone
(606) 256-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

150 Main St
Mount Vernon, KY 40456-2239

Mailing address

150 Main St
Mount Vernon, KY 40456-2239
Phone (606) 256-4613

Other identifiers 1

IdentifierTypeStateIssuer
54011978MedicaidKY

National Provider Directory

National Provider Directory

Locations

150 Main St
Mount Vernon, KY 40456
Phone (606) 256-0475

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578609582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562239",
            "telephone_number": "606-256-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562239",
            "telephone_number": "606-256-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "RPH OWNER",
        "authorized_official_telephone_number": "606-256-4613"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54011978",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.