Active NPI
Brandon Young, PHARM.D.
- Pharmacist
- Edina, MN
National Provider Identifier
1932481363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120458
- Practice address
- 4916 France Ave S
Edina, MN 55410-1758 - Phone
- (952) 927-5548
- NPI assigned
- Sep 12, 2011
- Last updated
- Dec 25, 2013
- 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 | 120458 | MN | Primary |
Addresses
Primary practice location
4916 France Ave S
Edina, MN 55410-1758
Mailing address
521 W 84TH St
Bloomington, MN 55420-2205
Phone (612) 963-1298
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 |
|---|---|---|---|
| 120458 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387929600000",
"number": "1932481363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W 84TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202205",
"telephone_number": "612-963-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554101758",
"telephone_number": "952-927-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-12",
"last_updated": "2013-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.