ERIC LONG (NPI# 1447755095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447755095 |
| Entity Type | Individual |
| Full Name | ERIC LONG |
| Practice Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Mailing Address |
315 Emmons St Niles MI 49120-2822 |
| Practice Telephone | 6169658200 |
| Mailing Telephone | 2693622724 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302042671 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1173041295 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598089369 | Eric B Long | Pharmacist | 2500 Federal St, Camden, NJ 08105-1939 | 2010-03-23 |
| 1972688521 | Eric William Long | Specialist | 1323 Sw Schaeffer Rd, West Linn, OR 97068-9658 | 2006-10-25 |
| 1487295614 | Eric Anthony Long | Pharmacist | 1080 W Highway 40, Vernal, UT 84078-2333 | 2019-09-29 |
| 1932676913 | Eric Tanner Long | Nurse Practitioner | 104 Burney Dr, Flowood, MS 39232-6621 | 2018-10-29 |
| 1437599305 | Eric Allen Long | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-06-25 |
| 1033475652 | Eric Martin Long | Anesthesiology | 400 Highland Ave., Lewistown, PA 17044 | 2012-04-09 |
| 1922381268 | Eric D Long | Pharmacist | 5301 Summerville Rd, Phenix City, AL 36867-7423 | 2011-09-22 |
| 1205013851 | Eric L Long | Surgery | 840 Pine St Ste 750, Macon, GA 31201 | 2008-01-25 |
| 1225090343 | Eric Long | Anesthesiology | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-04-04 |
| Street Address |
100 CHERRY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182894 | Mary P Chelsky | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-02-10 |
| 1043837925 | Mawada Osman | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-06-26 |
| 1922637651 | Dominic Reihl | Student in an Organized Health Care Education/Training Program | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-04-04 |
| 1578108155 | Susan Jean Hutson | Dental Assistant | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-11-07 |
| 1639711013 | Kelsey Renee Butcher | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-10-17 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1255993481 | Nicholae Brown | Dentist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-09 |
| 1659931020 | Maria E Sicco | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-06-18 |
| 1245894385 | Allison Lynn-yung Vankampen | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1164031860 | Jerika Nguyen | Pharmacist | 525 Clancy Ave Ne Apt 120, Grand Rapids, MI 49503-1843 | 2020-07-28 |
| 1063045177 | Kristen Buthker | Pharmacist | 1021 Alpine Ave Nw, Grand Rapids, MI 49504-4139 | 2020-02-17 |
| 1124667258 | Grant Lawson Beach | Pharmacist | 201 Michigan St Nw Apt 910, Grand Rapids, MI 49503-2330 | 2020-01-07 |
| 1821562844 | Catherine Formalejo Padogdog | Pharmacist | 2051 Ridgecrest Rd Se Apt 7, Grand Rapids, MI 49546-4321 | 2019-01-12 |
| 1386151660 | Brett Donald Jenkins | Pharmacist | 3326 Weatherford Dr Nw Apt 3a, Grand Rapids, MI 49544-6966 | 2018-01-08 |
| 1326568296 | Sarah Ann Kauffman | Pharmacist | 360 Division Ave S Ste 1a, Grand Rapids, MI 49503-4501 | 2017-06-22 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1235585456 | Kirsten Hayes | Pharmacist | 510 College Ave Ne Apt 215, Grand Rapids, MI 49503-1770 | 2016-05-06 |
| 1740649201 | Robert Matthew Granett | Pharmacist | 200 Jefferson Ave Se # See, Grand Rapids, MI 49503-4502 | 2016-02-12 |
| 1386000420 | Samantha Shifman | Pharmacist | 555 7th St Nw, Apt. 208, Grand Rapids, MI 49504-5213 | 2016-01-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on ERIC LONG.
| 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.