MEDICARE: MR. JAMES YOUN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	A1-0015991	DE
2	183500000X	Pharmacist	28RI04348700	NJ
3	183500000X	Pharmacist	RP458266	PA
4	183500000X	Pharmacist	071351	NY
5	183500000X	Pharmacist	32771	NC

General Provider Information

NPI Number	:	1477327666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES YOUN PHARMD

Provider Business Mailing Address
First Line	:	5611 W FRIENDLY AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4213
Country	:	US
Telephone Number	:	336-291-4982
Fax Number	:

Provider Business Practice Location Address
First Line	:	5611 W FRIENDLY AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-4213
Country	:	US
Telephone Number	:	336-291-4982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	05/19/2025

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