Active NPI
Peinie Penny Young, PHARM.D.
- Pharmacist
- Antioch, CA
National Provider Identifier
1942375993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55691
- Practice address
- 5601 Deer Valley Rd
Room 2102
Antioch, CA 94531-8577 - Phone
- (925) 813-3116
- Fax
- (925) 813-3141
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- 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 | 55691 | CA | Primary |
Addresses
Primary practice location
5601 Deer Valley Rd
Room 2102
Antioch, CA 94531-8577
Mailing address
5601 Deer Valley Rd
Room 2102
Antioch, CA 94531-8577
Phone (925) 813-3116
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200700800000",
"number": "1942375993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DEER VALLEY RD",
"address_2": "ROOM 2102",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318577",
"telephone_number": "925-813-3116",
"fax_number": "925-813-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DEER VALLEY RD",
"address_2": "ROOM 2102",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318577",
"telephone_number": "925-813-3116",
"fax_number": "925-813-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "PEINIE",
"middle_name": "PENNY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2008-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.