1497197792 NPI number — MRS. LAUREN ROBBINS YOUNT PHARMD

Table of content: CARLA ANDREA A ABORDO PT (NPI 1306934815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497197792 NPI number — MRS. LAUREN ROBBINS YOUNT PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YOUNT
Provider First Name:
LAUREN
Provider Middle Name:
ROBBINS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497197792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9925 ROSE COMMONS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28078-3335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-875-2375
Provider Business Mailing Address Fax Number:
704-875-2674

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9925 ROSE COMMONS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-3335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-875-2375
Provider Business Practice Location Address Fax Number:
704-875-2674
Provider Enumeration Date:
07/27/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  18382 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 56-1390087 . This is a "FEDERAL TAX ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0266269 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1226450063 . This is a "MEDICARE PROVIDER #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3040006033115 . This is a "STATE TAX ID" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3402699 . This is a "NABP" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1306933510 . This is a "PHARMACY NPI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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