Provider Demographics
NPI:1376190991
Name:YOU 1ST PHARMACY, LLC
Entity Type:Organization
Organization Name:YOU 1ST PHARMACY, LLC
Other - Org Name:YOU 1ST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IEMAAN
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:BAAGIL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:980-320-0160
Mailing Address - Street 1:826 SPRINGDALE LN
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-0322
Mailing Address - Country:US
Mailing Address - Phone:980-329-5013
Mailing Address - Fax:980-320-0161
Practice Address - Street 1:240 E GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0460
Practice Address - Country:US
Practice Address - Phone:980-320-0160
Practice Address - Fax:980-320-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1376190991Medicaid
NC14213OtherNC PHARMACY PERMIT
3471997OtherNCPDP NUMBER
1912132713OtherIEMAAN H. BAAGIL, RPH, PHARMACIST OWNER, PERSONAL NPI
FY8923179OtherDEA LICENSE