Provider Demographics
NPI:1477327666
Name:YOUN, JAMES (PHARMD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:YOUN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5611 W FRIENDLY AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4213
Mailing Address - Country:US
Mailing Address - Phone:336-291-4982
Mailing Address - Fax:
Practice Address - Street 1:5611 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4213
Practice Address - Country:US
Practice Address - Phone:336-291-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015991183500000X
NJ28RI04348700183500000X
PARP458266183500000X
NY071351183500000X
NC32771183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist