ANDREA C LONG (NPI# 1689198186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689198186 |
Entity Type | Individual |
Full Name | ANDREA C LONG |
Credential | PHARMD |
Practice Address |
301 Med Tech Pkwy Ste 240 Johnson City TN 37604 |
Mailing Address |
215 E Springbrook Dr Johnson City TN 37601-1761 |
Practice Telephone | 4237945520 |
Practice Fax Number | 4232826940 |
Mailing Telephone | 4237945520 |
Mailing Fax Number | 4232826940 |
Enumeration Date | 2017-07-27 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
39179 | TN | Pharmacy Service Providers |
N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
019174 | KY | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
530 S Jackson St, Louisville, KY 402021675 | 5025612826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134375033 | Andrea Long | Case Manager/Care Coordinator | 4405 Waterlily Cv, Lexington, KY 40515-6471 | 2008-08-11 |
1619210853 | Andrea Lynn Long | Social Worker | 304 S Niagara St, Saginaw, MI 48602-1570 | 2013-04-05 |
1821385303 | Andrea Long | Social Worker | 4161 Carmichael Ave, 3300 Building, Suite 150, Jacksonville, FL 32207-2353 | 2011-07-05 |
1336463694 | Andrea Eileen Long | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-03-16 |
1851529564 | Andrea Michelle Long | Surgery | 2823 Fresno St, Fresno, CA 93721-1324 | 2009-07-01 |
1225193014 | Andrea Long | Speech-Language Pathologist | 4901 N Shore Dr, North Little Rock, AR 72118-5293 | 2006-12-22 |
1194891598 | Andrea Long | Counselor | 1805 Airline Blvd, Portsmouth, VA 23707-3912 | 2006-11-28 |
1194804963 | Andrea Long | Physical Therapist | 6300 Telegraph Ave, Oakland, CA 94609-1329 | 2006-11-03 |
Street Address |
301 MED TECH PKWY STE 240 |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366471641 | Rachel E Keyt | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2006-06-30 |
1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
1205446457 | Katelyn Elizabeth Watts | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-08-03 |
1427681899 | Jennifer L Reedy | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-02-13 |
1033749486 | Alicia Leeann Pugh | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-01-23 |
1083270771 | Kristin A Patchell | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-05-17 |
1205390747 | Judith L Day | Registered Nurse | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
1568926004 | Mary J Shephard | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
1861967465 | Leah E Merrick | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-10-10 |
1346726775 | Alexandria R Hill | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-07-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972059764 | Ahmed Atyia | Pharmacist | 2811 W. Market St, Johnson City, TN 37604 | 2016-08-31 |
1669980132 | Edie B Gouge | Pharmacist | 3111 Browns Mill Rd, Johnson City, TN 37604-1418 | 2018-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356955561 | Joshua Hodge | Pharmacist | 1215 21st Aveneue South Suite 1006, Nashville, TN 37232-0001 | 2020-09-04 |
1467063099 | Sarah Darby | Pharmacist | 8920 Executive Park Dr Ste 100, Knoxville, TN 37923-4714 | 2020-08-17 |
1871140541 | Julia Percy | Pharmacist | 1005 Hunts Ln, Hendersonville, TN 37075-9742 | 2019-08-19 |
1003387077 | Manali Chetankumar Patel | Pharmacist | 3328 Lakewood Dr Nw, Cleveland, TN 37312-2099 | 2018-12-16 |
1851869531 | Jonathan Cobb | Pharmacist | 5410 Illinois Ave, Nashville, TN 37209-2115 | 2018-11-11 |
1588172100 | Wesley Drennon Bradford | Pharmacist | 979 E 3rd St Ste B-601, Chattanooga, TN 37403-2136 | 2018-01-17 |
1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
1619581881 | Mackenzie Gustafson | Pharmacist | 2500 Gallatin Ave, Nashville, TN 37206-3216 | 2020-09-03 |
1548873060 | David Quenten Brannon II | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2020-08-25 |
1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37604 |
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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.