BRIAN LONG (NPI# 1093052144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093052144 |
| Entity Type | Individual |
| Full Name | BRIAN LONG |
| Practice Address |
51 E Paulding Dr Dallas GA 30157-7190 |
| Practice Telephone | 7705058988 |
| Mailing Telephone | 7705058988 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018378 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093268039 | Brian Long | Behavioral Analyst | 751a Camino Plz, San Bruno, CA 94066-3401 | 2016-07-26 |
| 1265503585 | Brian Michael Long | Dentist | 22100 Outer Dr, Dearborn, MI 48124-3932 | 2006-11-10 |
| 1013925189 | Brian D Long | Physical Therapist | 10700 Sapp Brothers Dr, Omaha, NE 68138-3823 | 2006-08-04 |
| 1760446181 | Brian D Long | Ophthalmology | 340 Brandywine Blvd, Fayetteville, GA 30214-1562 | 2006-04-13 |
| 1134110257 | Brian Mckinley Long | Surgery | 5425 W Spring Creek Pkwy Ste 140, Plano, TX 75024-4318 | 2005-10-31 |
| 1962023879 | Brian Timothy Long | Counselor | 413 E Dixie Ave Ste 106, Elizabethtown, KY 42701-1162 | 2020-05-01 |
| 1669953345 | Brian Richard Long | Pharmacist | 1945 W Palmetto St Unit 32, Florence, SC 29501-3918 | 2018-08-22 |
| 1962953471 | Brian Long | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 | 2016-10-19 |
| 1972909422 | Brian Long | Community Health Worker | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2014-11-11 |
| 1629336276 | Brian Pandit Long | Pediatrics | 6303 Little River Tpke Ste 300, Alexandria, VA 22312 | 2012-05-01 |
| Street Address |
51 E PAULDING DR |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-7190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380398 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 51 E Paulding Dr, Dallas, GA 30157-7190 | 2006-06-05 |
| 1851638704 | Kimberly J Whitlock | Pharmacist | 51 E Paulding Dr, Dallas, GA 30157-7190 | 2013-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.