Meredith Lynn Young, PHARM. D.
Individual provider Active NPI Pharmacist · Colonie, NY
NPI 1922407121 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1922407121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 059652 (NY)
- Practice address
- 1440 Central Ave
Colonie, NY 12205-5118 - Phone
- (518) 489-0233
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059652 | NY | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059652 | NY | Yes |
Addresses
Primary practice location
1440 Central Ave
Colonie, NY 12205-5118
Mailing address
1383 Hermance Rd
Galway, NY 12074-2801
Phone (315) 771-8810
Other names
- Meredith Lynn Sullivan
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.