Active NPI
Shane M Young, PHARMD, RPH
- Pharmacist
- Whitehall, OH
National Provider Identifier
1740704865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03328823
- Practice address
- 850 S Hamilton Rd
Whitehall, OH 43213-3000 - Phone
- (614) 759-2746
- Fax
- (614) 759-2751
- NPI assigned
- Jul 31, 2017
- Last updated
- Jul 21, 2022
- 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 | 03328823 | OH | Primary |
Addresses
Primary practice location
850 S Hamilton Rd
Whitehall, OH 43213-3000
Mailing address
850 S Hamilton Rd
Whitehall, OH 43213-3000
Phone (614) 759-2746
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03328823 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740704865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S HAMILTON RD",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133000",
"telephone_number": "614-759-2746",
"fax_number": "614-759-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S HAMILTON RD",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133000",
"telephone_number": "614-759-2746",
"fax_number": "614-759-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHANE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03328823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.