DR. ROBERT LEON LONGE (NPI# 1912900713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912900713 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LEON LONGE |
| Credential | PHARM. D. |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Mailing Address |
115 Cascade Dr North Augusta SC 29841-2164 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 8032790044 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
4417 | SC | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
10441 | GA | Pharmacy Service Providers |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| 1669099453 | David Beauregard Freeman | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907279 | Mohamed Nesredin Ahmedin | Pharmacist | 2718 Woodcrest Dr Apt H, Augusta, GA 30909-0431 | 2014-06-13 |
| 1467749077 | Meredith Cundey Peckel | Pharmacist | 1647 Gordon Hwy, Augusta, GA 30906-2297 | 2011-07-03 |
| 1063515393 | Edward William Bauer IIi | Pharmacist | One Va Center, Togus Va Medical Center, Augusta, ME 04330-6719 | 2006-09-05 |
| 1417976325 | Christina Elaine Deremer | Pharmacist | 1120 15th St # Bi-2101, Augusta, GA 30912-0004 | 2006-07-19 |
| 1861860348 | Jihane Chaieb | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2015-09-14 |
| 1235519752 | Meredith Miles Dickson | Pharmacist | 300 East Hospital Road, Augusta, GA 30905 | 2015-06-01 |
| 1770898868 | Catherine Ann Bourg | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2010-08-12 |
| 1225124308 | Alyne Newell Anderson | Pharmacist | 1 Va Ctr, 119, Augusta, ME 04330-6719 | 2006-10-05 |
| 1831200351 | Kurt Malcolm Johnston | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2006-08-31 |
| 1770693053 | Tina A Whitehouse | Pharmacist | 1 Freedom Way, Va Medical Center, Augusta, GA 30904-6258 | 2006-08-30 |
| Find all providers in AUGUSTA | ||||
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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.