Active NPI
Forrest John Young, RPH
- Pharmacist
- Merrill, WI
National Provider Identifier
1629985205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12624-040
- Practice address
- 301 E 2ND St
Merrill, WI 54452-2317 - Phone
- (715) 536-2909
- Fax
- (715) 536-5094
- NPI assigned
- Aug 27, 2026
- Sex
- Male
- 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 | 12624-040 | WI | Primary |
Addresses
Primary practice location
301 E 2ND St
Merrill, WI 54452-2317
Mailing address
N3003 Maplewood Rd
Merrill, WI 54452-9412
Phone (715) 842-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1629985205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3003 MAPLEWOOD RD",
"city": "MERRILL",
"state": "WI",
"postal_code": "544529412",
"telephone_number": "715-842-0370",
"fax_number": "715-842-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 2ND ST",
"city": "MERRILL",
"state": "WI",
"postal_code": "544522317",
"telephone_number": "715-536-2909",
"fax_number": "715-536-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "FORREST",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12624-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.