DR. DAVID QUINN YOUNGBLOOD (NPI# 1982977674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982977674 |
| Entity Type | Individual |
| Full Name | DR. DAVID QUINN YOUNGBLOOD |
| Practice Address |
1545 E 6th St Weiser ID 83672-1495 |
| Practice Telephone | 2085498777 |
| Practice Fax Number | 2085498780 |
| Mailing Telephone | 2085498777 |
| Mailing Fax Number | 2085498780 |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6013 | ID | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE PHARMACIST LICENSE | P6013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821118050 | David A Youngblood | Preventive Medicine | 851 Fort Street Mall, Suite 100, Honolulu, HI 96813-4300 | 2007-03-30 |
| Street Address |
1545 E 6TH ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| 1285259762 | Kassie Lee Allen | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| 1689299380 | Karla Fischer | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-09 |
| 1902421613 | Dann Henry Brugger | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-09 |
| 1003430943 | Alicia Gonzalez | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-06 |
| 1235753179 | Anika Garcia | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-06 |
| 1720532260 | Damon Cole Dejulis | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2016-08-13 |
| 1013272467 | Chase Wadsworth | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-07-11 |
| 1861765158 | William Robin Peale | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1528220795 | Suzan L Peterson | Physical Therapist | 360 Pioneer Rd, Weiser, ID 83672-1550 | 2008-06-30 |
| 1780222190 | Joshua Carl Stephenson | Technician | 30 Maple Dr, Weiser, ID 83672-1566 | 2019-12-16 |
| Find all providers in zip 83672 | ||||
| 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 |
|---|---|---|---|---|
| 1720532260 | Damon Cole Dejulis | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2016-08-13 |
| 1013272467 | Chase Wadsworth | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-07-11 |
| 1861765158 | William Robin Peale | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-02-16 |
| 1215200951 | Ty Curtis Bazil | Pharmacist | 1545 E 6th St, Weiser, ID 83672-1495 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1932713765 | Richard Lee Wilgus | Pharmacist | 131 W Cameron Ave, Kellogg, ID 83837-2359 | 2020-08-31 |
| 1194335406 | Elizabeth Halcro | Pharmacist | 5453 Hwy 2, Priest River, ID 83856-8385 | 2020-08-03 |
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1477186542 | Mark David Johnston | Pharmacist | 1683 E Myrtle Beach Ct, Eagle, ID 83616-5366 | 2020-02-18 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1437795259 | Paul Charles Villaret | Pharmacist | 1855 N Groveland Pl, Eagle, ID 83616-4275 | 2019-11-27 |
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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.