Individual provider Active NPI

Paul H. Young Sr., PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Mobile, AL
National Provider Identifier
1740059252
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
13896 Issued in AL
Practice address
3280 Dauphin St Ste 115
Mobile, AL 36606-4060
Phone
(251) 476-5656
NPI assigned
Dec 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13896 AL Primary

Addresses

Primary practice location

3280 Dauphin St Ste 115
Mobile, AL 36606-4060

Mailing address

1957 Bradshire Dr
Mobile, AL 36695-3067
Phone (251) 689-9286

Other practice location 1

1450 Tingle Circle E
Mobile, AL 36606
Phone (251) 308-7030

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

LicenseStateTypeSpecialty
13896ALMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1740059252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 BRADSHIRE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953067",
            "telephone_number": "251-689-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST STE 115",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-476-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Tingle Circle E",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "36606",
            "country_code": "US",
            "telephone_number": "251-308-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PAUL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "13896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.