Dr. Jassoni Shae Young, Pharm D
Pharmacist in Shreveport, LA. Individual provider (NPI-1).
NPI number1114201720
StatusActive
Last updated in NPPESSep 30, 2011
Details
- NPI
- 1114201720
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jassoni Shae Young
- Credential
- Pharm D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2011
- Last updated
- Sep 30, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 019494 | LA | Yes |
Practice location
7110 Youree DrShreveport, LA 71105-5107
Phone 318-798-7860 · Fax 318-798-7860
Mailing address
7110 Youree DrShreveport, LA 71105-5107
Phone 318-798-7860 · Fax 318-798-7860
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All 292 Pharmacist providers in Shreveport · All 11,081 providers in Shreveport
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