Active NPI
Laban Eugene Young, R.PH.
- Pharmacist
- Louisa, KY
National Provider Identifier
1902352214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008058
- Practice address
- 408 N Lock Ave
Louisa, KY 41230-1115 - Phone
- (606) 638-4155
- Fax
- (606) 638-1109
- NPI assigned
- Aug 27, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008058 | KY | Primary |
Addresses
Primary practice location
408 N Lock Ave
Louisa, KY 41230-1115
Mailing address
PO Box 69
Louisa, KY 41230-0069
Phone (606) 793-4113
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 |
|---|---|---|---|
| 008058 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Retail Co., Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1902352214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "LOUISA",
"state": "KY",
"postal_code": "412300069",
"telephone_number": "606-793-4113",
"fax_number": "606-638-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N LOCK AVE",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301115",
"telephone_number": "606-638-4155",
"fax_number": "606-638-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LABAN",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-27",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "008058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.