MR. DOUGLAS LONG (NPI# 1306872379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306872379 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS LONG |
| Credential | R.P.H |
| Practice Address |
105a Broyles St Johnson City TN 37601-2517 |
| Practice Telephone | 4232821178 |
| Practice Fax Number | 4232820462 |
| Mailing Telephone | 4232821178 |
| Mailing Fax Number | 4232820462 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1174 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689049702 | Douglas William Long | Nurse Practitioner | 403 W Oak St Ste 100, El Dorado, AR 71730-4573 | 2015-12-01 |
| 1720121619 | Douglas Jess Long | Specialist/Technologist | 1115 S Cottonwood St, North Platte, NE 69101-6108 | 2007-02-14 |
| 1164499547 | Douglas L Long | Chiropractor | 4515 Harding Pike, Suite 110, Nashville, TN 37205-2118 | 2006-03-03 |
| 1750731592 | Douglas Moore Long | Psychologist | 593 Eddy St, Potter Building, 2nd Floor, Providence, RI 02903-4923 | 2016-06-13 |
| 1902904006 | Douglas M Long | Chiropractor | 4902 Tacoma Mall Blvd, Tacoma, WA 98409-7149 | 2006-09-20 |
| 1487756763 | Douglas G Long | Family Medicine | 3801 E Highway 98, Er, Port St Joe, FL 32456-5318 | 2006-09-05 |
| 1730290735 | Douglas Frank Long | Physician Assistant | 10 Severance Cir, Cleveland Heights, OH 44118-1533 | 2006-08-31 |
| 1255368528 | Douglas M. Long | Ophthalmology | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2006-06-26 |
| 1003865429 | Douglas J Long | Neurological Surgery | 8005 Farnam Dr, Suite 305, Omaha, NE 68114 | 2006-05-10 |
| 1023079837 | Douglas W. Long | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-03-31 |
| Street Address |
105A BROYLES ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831125814 | Anne Bailey | Pharmacist | 105a Broyles St, Johnson City, TN 37601-2517 | 2006-06-23 |
| 1285661801 | Paul Renfro | Pharmacist | 105a Broyles St, Johnson City, TN 37601-2517 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1639798861 | Eric Lockner | Pharmacist | 1940 S Roan St, Johnson City, TN 37601-7559 | 2020-04-08 |
| 1043766934 | Lindsay Deanne Vance | Pharmacist | 2403 Browns Mill Rd, Apartment 15, Johnson City, TN 37604-1972 | 2016-08-30 |
| 1477946432 | Mark Hodges | Pharmacist | 2120 S Roan St Ste 100, Johnson City, TN 37601-7675 | 2015-03-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1063811479 | Nicolas Christopher Lopez | Pharmacist | 69 Dogwood Dr, Johnson City, TN 37684 | 2014-08-21 |
| 1013345792 | Karen Meyer | Pharmacist | 1906 Waters Edge Dr, Johnson City, TN 37604-8317 | 2013-10-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1982036927 | Brooklyn Nelson | Pharmacist | 1021 W Oakland Ave Ste 301, Johnson City, TN 37604-2192 | 2013-08-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.