Individual provider Active NPI

Lynn Young, PHARM D

  • Pharmacist
  • New York, NY
National Provider Identifier
1740417146
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051148 Issued in NY
Practice address
2258 3Rd Ave
New York, NY 10035-2208
Phone
(212) 289-7310
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051148 NY Primary

Addresses

Primary practice location

2258 3Rd Ave
New York, NY 10035-2208

Mailing address

2258 3Rd Ave
Unit a
New York, NY 10035-2208
Phone (917) 364-0150

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
051148NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gotham Pharmacy Inc Current Accepting new patients
Citypharma Inc Current Accepting new patients

Locations

2258 3rd Ave
Unit A
New York, NY 10035

2258 3rd Ave
New York, NY 10035
Phone (212) 289-7310

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1740417146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 3RD AVE",
            "address_2": "UNIT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352208",
            "telephone_number": "917-364-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352208",
            "telephone_number": "212-289-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.