Active NPI
Kevin Yu, RPH.
- Pharmacist
- Frisco, TX
National Provider Identifier
1619334364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38290
- Practice address
- 13384 Mossvine Dr
Frisco, TX 75035-0570 - Phone
- (214) 675-0167
- NPI assigned
- Jan 26, 2016
- Last updated
- Jan 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14825 | NE | |
| Pharmacist | 183500000X | RPH-0014979 | OR | |
| Pharmacist | 183500000X | 38979 | TN | |
| Pharmacist | 183500000X | 0202214333 | VA | |
| Pharmacist | 183500000X | RP0009207 | WV | |
| Pharmacist | 183500000X | 38290 | TX | Primary |
| Pharmacist | 183500000X | 18629 | AL | |
| Pharmacist | 183500000X | PD13178 | AR | |
| Pharmacist | 183500000X | 018104 | KY | |
| Pharmacist | 183500000X | PST.020971 | LA | |
| Pharmacist | 183500000X | 5302043373 | MI | |
| Pharmacist | 183500000X | T-13868 | MS |
Addresses
Primary practice location
13384 Mossvine Dr
Frisco, TX 75035-0570
Mailing address
13384 Mossvine Dr
Frisco, TX 75035-0570
Phone (214) 675-0167
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 |
|---|---|---|---|
| 14825 | NE | MD | Mental Health Counselor |
| 18629 | AL | MD | Pharmacist |
| PD13178 | AR | MD | Pharmacist |
| 018104 | KY | MD | Pharmacist |
| PST.020971 | LA | MD | Pharmacist |
| 5302043373 | MI | MD | Pharmacist |
| T-13868 | MS | MD | Pharmacist |
| RPH-0014979 | OR | MD | Pharmacist |
| 38979 | TN | MD | Pharmacist |
| 0202214333 | VA | MD | Pharmacist |
| RP0009207 | WV | MD | Pharmacist |
| 38290 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1619334364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13384 MOSSVINE DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350570",
"telephone_number": "214-675-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13384 MOSSVINE DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350570",
"telephone_number": "214-675-0167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14825",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014979",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "38979",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214333",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009207",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38290",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18629",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13178",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "018104",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020971",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043373",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-13868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.