Your Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46836 Issued in CA

Legal business name

YOUR DRUG STORE

Practice address

17079 Main St
Hesperia, CA 92345-6071

Phone

(760) 949-9310

Fax

(760) 949-9622

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Brandon Huynh

Title

Pharmacist

Phone

(760) 949-9310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1821359548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17079 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456071",
            "telephone_number": "760-949-9310",
            "fax_number": "760-949-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17079 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456071",
            "telephone_number": "760-949-9310",
            "fax_number": "760-949-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "760-949-9310"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336232768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yds Pharmacy Corporation (Your Drug Store)
• Koreana Lyn Yeager
• James Yeargin
• Kevin Wing Yim, PA-C
• Yong J Shin D.D.S. Inc, (Hesperia Central Dental)
• Rebeca Jean Youst
• Mehrdad Zabihian
• Halima Zainab, FNP
• Javonna Skye Zamora
• Evelin Lizbeth Zuniga

• Community/Retail Pharmacy in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.