DR. LARRY YOUNG (NPI# 1134402928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134402928 |
| Entity Type | Individual |
| Full Name | DR. LARRY YOUNG |
| Credential | DPH |
| Practice Address |
1863 Union Ave Memphis TN 38104-4028 |
| Practice Telephone | 9012722006 |
| Practice Fax Number | 9017250026 |
| Mailing Telephone | 9012722006 |
| Mailing Fax Number | 9017250026 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5789 | AR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 4313 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346454451 | Larry C. Young | Dentist | 4487 Baymeadows Rd, Jacksonville, FL 32217-4716 | 2007-05-09 |
| 1003933425 | Larry Joe Young | Chiropractor | 4201 Avenue R, Lubbock, TX 79412-1737 | 2007-03-22 |
| 1043317423 | Larry J Young | Obstetrics & Gynecology | Two Hurley Plaza, Suite 204, Flint, MI 48503 | 2006-09-20 |
| 1689654014 | Larry Creston Young | Otolaryngology | 345 23rd Ave North, Suite 412, Nashville, TN 37203 | 2006-01-20 |
| 1457639726 | Larry Dale Young | Nurse Anesthetist, Certified Registered | 701 N 1st St, Anesthesia Dept, Springfield, IL 62781-0001 | 2011-08-03 |
| 1750418877 | Larry Young | Nurse Anesthetist, Certified Registered | 1360 Medical Park Dr, Maysville, KY 41056-9621 | 2007-02-27 |
| 1427145259 | Larry J Young | Dentist | 203 Main Street, Matawan, NJ 07747 | 2006-10-05 |
| 1609978402 | Larry Leslie Young | Internal Medicine | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2006-09-02 |
| 1700842143 | Larry Young | Physician Assistant | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2006-04-25 |
| 1700846441 | Larry D. Young | Psychologist | 1208 Eastchester Dr, Suite 200, High Point, NC 27265-3170 | 2006-03-25 |
| Street Address |
1863 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477560472 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1863 Union Ave, Memphis, TN 38104-4028 | 2006-08-02 |
| 1952955783 | Charnesa Tutwiler | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2019-07-30 |
| 1366827263 | Mary Morgan | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2015-07-21 |
| 1902230469 | Michael Brett Massengill | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2013-09-02 |
| 1346596434 | Marcus Potts | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2012-07-26 |
| 1306115639 | Milissa Jackson | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-12-15 |
| 1508135989 | Melanie Ann Joyner-huggins | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-12-14 |
| 1952679532 | Jamison Powell | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-12-09 |
| 1902174014 | Kristie P White | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-12-02 |
| 1457637001 | Lisa Georgina Igoni | Pharmacist | 1863 Union Ave, Memphis, TN 38104-4028 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366678 | Punam Patel | Pharmacist | 3075 Lamar Ave, Memphis, TN 38114-6440 | 2020-08-12 |
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1952935322 | Madison Ann Williams | Pharmacist | 1680 Century Center Pkwy Ste 15, Memphis, TN 38134-8827 | 2020-02-25 |
| 1558900290 | Jiderechukwu Ugonna Anyigbo | Pharmacist | 232 Keel Ave, Memphis, TN 38107-3736 | 2019-12-28 |
| 1740823525 | Erica Danielle Washington | Pharmacist | 6025 Walnut Grove Rd Ste 108, Memphis, TN 38120-2116 | 2019-10-23 |
| 1356983308 | Olivia Brooks Wingate | Pharmacist | 8700 W Trail Lake Dr Ste 205, Memphis, TN 38125-8205 | 2019-10-11 |
| 1891266201 | Sara Smigielski | Pharmacist | 5219 Sequoia Ave, Memphis, TN 38120-1544 | 2018-12-10 |
| 1104393313 | Christine Ven Handy | Pharmacist | 4667 Flamingo Rd, Memphis, TN 38117-6111 | 2018-10-25 |
| 1821595026 | Alan Carter | Pharmacist | 5293 Elvis Presley Blvd, Memphis, TN 38116-8233 | 2018-04-12 |
| 1104364728 | Heather Mullins | Pharmacist | 6949 Appling Farms Pkwy Ste 109, Memphis, TN 38133-4731 | 2017-02-02 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.