Active NPI
Michael R Young, R.PH.
- Pharmacist
- Oakland Township, MI
National Provider Identifier
1811265374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035592
- Practice address
- 3922 Briarbrooke LN
Oakland Township, MI 48306-4749 - Phone
- (248) 804-4139
- NPI assigned
- Dec 12, 2011
- Last updated
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202007562 | VA | |
| Pharmacist | 183500000X | RP038059R | PA | |
| Pharmacist | 183500000X | 5302035592 | MI | Primary |
Addresses
Primary practice location
3922 Briarbrooke LN
Oakland Township, MI 48306-4749
Mailing address
4707 Saint Antoine St
Suite M230
Detroit, MI 48201-1427
Phone (313) 966-0392
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 |
|---|---|---|---|
| 5302035592 | MI | MD | Pharmacist |
| RP038059R | PA | MD | Pharmacist |
| 0202007562 | VA | MD | Pharmacist |
Organizations & group practices 3
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.
-
dba DMC Pharmacy Stilson Center
- Community/Retail Pharmacy
- Clinton Township, MI
- NPI 1417133307
-
dba DMC Pahrmacy Hutzel
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1578684957
-
dba DMC Pharmacy - Sinai Lobby
- Community/Retail Pharmacy
- Detroit, MI
- NPI 1831429422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1811265374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 SAINT ANTOINE ST",
"address_2": "SUITE M230",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011427",
"telephone_number": "313-966-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 BRIARBROOKE LN",
"city": "OAKLAND TOWNSHIP",
"state": "MI",
"postal_code": "483064749",
"telephone_number": "248-804-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-12",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007562",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038059R",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.