YOUNG'S PHARMACY & GENERAL STORE, LLC
NPI 1447456116
Pharmacy - Community/Retail Pharmacy in Averill Park, NY

Active since June 21, 2007CLIA 33D2183414 · Waiver
1636 BURDEN LAKE ROAD, AVERILL PARK, NY 12018(518) 674-3663(518) 674-1400 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Young's Pharmacy & General Store, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG'S PHARMACY & GENERAL STORE, LLC (NPI 1447456116) is a healthcare organization registered as a community/retail pharmacy in Averill Park, New York and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Miller Young, Supervising Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1447456116
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameYOUNG'S PHARMACY & GENERAL STORE, LLC
Location Address1636 BURDEN LAKE ROADAverill Park, NY 12018-2808
Mailing Address1636 Burden Lake RoadAverill Park, NY 12018-2808 · (518) 674-3663 · Fax (518) 674-1400
Fax(518) 674-1400
Organization SubpartNo
Authorized OfficialMiller YoungSupervising Pharmacist · (518) 674-3663
Enumeration DateJune 21, 2007
Last NPPES UpdateJanuary 18, 2008
NPI 1447456116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 028426
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1636 BURDEN LAKE ROAD, Averill Park, NY 12018

Other Identifiers 3

Other028426NY · Nys License Number
Other3354761NY · Ncpdp
Medicare NSC5939760001NY

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2183414

Young's Pharmacy And General Store · Averill Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2183414
Laboratory TypePharmacy
Certificate Effective DateMay 5, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Chester H. Fox
Laboratory Phone(518) 674-3663
Laboratory LocationYoung's Pharmacy And General Store1636 Burden Lake Rd, Averill Park, NY 12018
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
209 services209 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
201 services201 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
31 services31 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
31 services31 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Young's Pharmacy & General Store, L carries, from the Medicare DMEPOS supplier directory.

Young's Pharmacy & General Store, L

DMEPOS supplier · Averill Park, NYOperated by Young's Pharmacy & General Store LLC

Does not accept Medicare assignment

Young's Pharmacy & General Store, L has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20565305
Medicare Participant SinceJune 14, 2007
Supplier Location1636 Burden Lake RdAverill Park, NY 12018
Provider TypeOxygen & Equipment
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1636 BURDEN LAKE ROAD
AVERILL PARK, NY 12018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young's Pharmacy & General Store, LLC's NPI number?

The NPI number for Young's Pharmacy & General Store, LLC is 1447456116. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Young's Pharmacy & General Store, LLC located?

Young's Pharmacy & General Store, LLC is located at 1636 Burden Lake Road, Averill Park, NY 12018. The listed phone number is (518) 674-3663.

What is Young's Pharmacy & General Store, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Young's Pharmacy & General Store, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Young's Pharmacy & General Store, L does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Young's Pharmacy & General Store, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2183414) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Young's Pharmacy & General Store, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Young's Pharmacy & General Store, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Young's Pharmacy & General Store, LLC was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.