Young Life Enterprise LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YOUNG LIFE ENTERPRISE LLC

Doing business as

Young Life Pharmacy

Practice address

1769 Candler Rd
Decatur, GA 30032-3276

Phone

(678) 772-8623

NPI assigned

Jun 12, 2017

Last updated

May 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Young II, PHARMDNPI 1700178001

Title

Pharmacist

Phone

(404) 549-9671

Specialties & licenses 3

Addresses

Other names 1

• Young Life Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Lee Young II, PHARM.D.

  • Pharmacist
  • Decatur, GA
  • NPI 1700178001
  NPD Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746316800000",
    "number": "1922537000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323276",
            "telephone_number": "404-549-9671",
            "fax_number": "678-974-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323276",
            "telephone_number": "678-772-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-549-9671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shavaughn R York, CCC-SLP
• Alan Marshall Yorker, MA, LMFT
• Chelsea Wiltjer Yost, MD
• You and Me Corp
• Young Folk Psychological Services, LLC
• Alexis Young
• Antonia Young
• Barbar A Young, PA
• Elizabeth Wilder Young, LCSW
• Jennifer Young

• Community/Retail Pharmacy in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.