Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
YDS PHARMACY CORPORATION
Active
Organization
YDS PHARMACY CORPORATION
Active
Other names
YOUR DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HUYNH (PRESIDENT)
(760) 843-7200
Entity
Organization
Contact information
Practice address
12370 HESPERIA RD STE 7, VICTORVILLE, CA 92395-4787
(760) 843-7200
(760) 843-7360
Mailing address
12370 HESPERIA RD, SUITE 7, VICTORVILLE, CA 92395-7719
(760) 843-7200
(760) 843-7360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50425
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5639200
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/07/2010
Last updated
10/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up