Active NPI
Joel Greg Young, RPH
- Pharmacist
- Abilene, TX
National Provider Identifier
1811077027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30595
- Practice address
- 1857 Pine St Ste 102
Abilene, TX 79601-2429 - Phone
- (325) 670-4545
- Fax
- (325) 670-2896
- NPI assigned
- Oct 16, 2006
- 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 | 30595 | TX | Primary |
Addresses
Primary practice location
1857 Pine St Ste 102
Abilene, TX 79601-2429
Mailing address
1001 Manciples Way
Abilene, TX 79602-3140
Phone (325) 673-5574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4588060 | Other | TX | NABP NUMBER |
| 143925 | Medicaid | TX |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30595 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811077027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MANCIPLES WAY",
"city": "ABILENE",
"state": "TX",
"postal_code": "796023140",
"telephone_number": "325-673-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 PINE ST STE 102",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012429",
"telephone_number": "325-670-4545",
"fax_number": "325-670-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOEL",
"middle_name": "GREG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "4588060",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143925",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.