MR. MIKE THOMAS LONG (NPI# 1093897399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093897399 |
| Entity Type | Individual |
| Full Name | MR. MIKE THOMAS LONG |
| Credential | RPH |
| Practice Address |
126 N Center St Hickory NC 28601-6215 |
| Mailing Address |
575 19th Avenue Dr Nw Hickory NC 28601-1279 |
| Practice Telephone | 8283227717 |
| Practice Fax Number | 8283223803 |
| Mailing Telephone | 8283278058 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7809 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558326652 | Mike Dennis Long | Specialist/Technologist | 500 Clinic Dr, Trover Foundation Sports Medicine, Hopkinsville, KY 42240-4991 | 2006-04-20 |
| Street Address |
126 N CENTER ST |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033228911 | Medical Center Pharmacy Inc of Hickory | Durable Medical Equipment & Medical Supplies | 126 N Center St, Hickory, NC 28601-6215 | 2006-08-30 |
| 1568015618 | Matthew Mclean Means | Pharmacist | 126 N Center St, Hickory, NC 28601-6215 | 2019-07-18 |
| 1528441748 | Patrick Netherland | Pharmacist | 126 N Center St, Hickory, NC 28601-6215 | 2015-07-07 |
| 1225385982 | Brandon Keith Warren | Pharmacist | 126 N Center St, Hickory, NC 28601-6215 | 2012-08-12 |
| 1891876488 | Donald Cameron Johnston Jr. | Pharmacist | 126 N Center St, Hickory, NC 28601-6215 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| 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 |
|---|---|---|---|---|
| 1407485865 | Michelle Kerestes | Pharmacist | 1257 25th Street Pl Se Apt 2109, Hickory, NC 28602-9658 | 2020-04-07 |
| 1285168484 | Cynthia Elliott | Pharmacist | 4298 State Route 408 W, Hickory, KY 42051-9201 | 2017-04-13 |
| 1104201441 | Jessica Knoske | Pharmacist | 1220 Us Highway 321 Nw, Hickory, NC 28601-2206 | 2015-07-28 |
| 1073996831 | Nickolas Kai Jones | Pharmacist | 2700 S Nc Hwy 124, Hickory, NC 28602-9130 | 2015-06-29 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1316371495 | Brian Mayakis | Pharmacist | 1220 Highway 321 Northwest, Hickory, NC 28601 | 2013-08-26 |
| 1689954471 | Georgia Hill | Pharmacist | 2700 Hwy 127 South, Hickory, NC 28602 | 2011-08-24 |
| 1245537307 | Gregory Hale | Pharmacist | 1073 10th Avenue Dr Nw, Hickory, NC 28601-3583 | 2011-02-24 |
| 1598069585 | Barbara Elizabeth Ertle | Pharmacist | 1220 Highwway 321 Northwest, Hickory, NC 28601 | 2011-01-05 |
| 1457655581 | Laura Ford Swink | Pharmacist | 1220 Highway 321 Nw, Hickory, NC 28601 | 2011-01-04 |
| Find all providers in HICKORY | ||||
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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.