Active NPI
Cole David Young, PHARMD.
- Pharmacist
- Sevierville, TN
National Provider Identifier
1851602791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000033859
- Practice address
- 1840 Parkway
Sevierville, TN 37862-7006 - Phone
- (865) 429-3954
- NPI assigned
- Jun 25, 2010
- 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 | 0000033859 | TN | Primary |
Addresses
Primary practice location
1840 Parkway
Sevierville, TN 37862-7006
Mailing address
2031 Bill Hicks Dr
Seymour, TN 37865-4496
Phone (772) 359-6573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000033859 | Other | TN | STATE LICENCE # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000033859 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1851602791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 BILL HICKS DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378654496",
"telephone_number": "772-359-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 PARKWAY",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378627006",
"telephone_number": "865-429-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "COLE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000033859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE #",
"identifier": "0000033859",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.