Provider Demographics
NPI:1912340688
Name:YOUMBI, LUDOVICK (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:LUDOVICK
Middle Name:
Last Name:YOUMBI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4377 BRONX BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1397
Mailing Address - Country:US
Mailing Address - Phone:202-290-9317
Mailing Address - Fax:888-828-6230
Practice Address - Street 1:4377 BRONX BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1397
Practice Address - Country:US
Practice Address - Phone:866-293-1559
Practice Address - Fax:888-828-6230
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057807163WD0400X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator