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DR. ERIC YOUNG PHARMD PHC NPI 1477824761


NPI Information

NPI: 1477824761
Provider Name: DR. ERIC YOUNG, PHARMD, PHC
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
649 HARKLE RD STE E
SANTA FE, NM
ZIP 87505
Phone: (505) 955-9454
Get Directions

DR. Eric Young, PHARMD, PHC is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Santa Fe, NM. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Eric Young, PHARMD, PHC NPI is 1477824761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

649 HARKLE RD STE E
SANTA FE, NM
ZIP 87505-765
Phone: (505) 955-9454
Fax: (505) 216-9067

The enumeration date for this NPI number is 1/19/2012 and was last updated on 10/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistRP00007744NEW MEXICONo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistCP00000284NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151108861MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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