Active NPI
Andrew Young, PHARMD
- Pharmacist
- Forney, TX
National Provider Identifier
1720605603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56501
- Practice address
- 427 Pinson Rd
Forney, TX 75126-9767 - Phone
- (972) 552-9573
- Fax
- (866) 559-4991
- NPI assigned
- Jun 26, 2020
- 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 | 56501 | TX | Primary |
Addresses
Primary practice location
427 Pinson Rd
Forney, TX 75126-9767
Mailing address
2936 State St
Dallas, TX 75204-2830
Phone (972) 365-2840
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 |
|---|---|---|---|
| 56501 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1720605603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 STATE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042830",
"telephone_number": "972-365-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 PINSON RD",
"city": "FORNEY",
"state": "TX",
"postal_code": "751269767",
"telephone_number": "972-552-9573",
"fax_number": "866-559-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.