Forever Young Pharmacy
NPI 1184313355ActiveOrganization· Pharmacy, Mail Order Pharmacy· Carlsbad, CA
Pharmacy, Mail Order Pharmacy in Carlsbad, California, registered in NPPES in May 2023. The authorized official on file is Dane David Fredericksen, PHARM. D., Owner.
Overview
| NPI | 1184313355 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2023 |
| Last updated in NPPES | May 3, 2023 |
| Certified by provider | May 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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