Active NPI
Timothy A Youso, PHARM D
- Pharmacist
- Lake Havasu City, AZ
National Provider Identifier
1619356680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S010095
- Practice address
- 5695 Highway 95 N
Lake Havasu City, AZ 86404-9646 - Phone
- (928) 764-3737
- NPI assigned
- May 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S010095 | AZ | Primary |
Addresses
Primary practice location
5695 Highway 95 N
Lake Havasu City, AZ 86404-9646
Mailing address
5695 Highway 95 N
Lake Havasu City, AZ 86404-9646
Phone (928) 764-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316934 | Other | AZ | NABP |
| 1164449377 | Other | AZ | NPI |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S010095 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619356680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5695 HIGHWAY 95 N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864049646",
"telephone_number": "928-764-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5695 HIGHWAY 95 N",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864049646",
"telephone_number": "928-764-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSO",
"first_name": "TIMOTHY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0316934",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1164449377",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.