Jim E. Young, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

P3862 Issued in ID

Practice address

640 Highway 16
Emmett, ID 83617-9461

Phone

(208) 365-4128

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1780971226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 OLD FREEZE OUT RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179578",
            "telephone_number": "208-365-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 16",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179461",
            "telephone_number": "208-365-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JIM",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan White
• Sara Marie Williams
• Warren Richard Willis, D.M.D
• Robin Wood Reed, LCSW
• Thomas Whalen Woodward, O.D.
• Jimmy Joe Zarybnisky, DMD

• Pharmacist in Emmett, ID
• Providers in Emmett, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.