PATRICK RICHARD LONG (NPI# 1104958024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104958024 |
| Entity Type | Individual |
| Full Name | PATRICK RICHARD LONG |
| Credential | RPH |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
5740 W Allen Rd Fowlerville MI 48836-9745 |
| Practice Telephone | 3139161644 |
| Practice Fax Number | 3139161302 |
| Mailing Telephone | 5172237630 |
| Enumeration Date | 2007-03-09 |
| 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 | 5302411076 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881031 | Patrick Long | Behavior Technician | 16670 Thurman St., Guinda, CA 95637-0023 | 2017-03-01 |
| 1750706503 | Patrick T Long Jr. | Massage Therapist | 3709 Collins Way, Weirton, WV 26062 | 2014-03-03 |
| 1437467909 | Patrick Mclean Long II | Acupuncturist | 2644 S Glenstone Ave, Springfield, MO 65804-3712 | 2010-09-18 |
| 1932295797 | Patrick W Long | Dentist | 3775 Central Ave, Shadyside, OH 43947 | 2006-10-05 |
| 1780206094 | Patrick Hale Long | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
| 1013490937 | Patrick Steven Long | Pharmacist | 3919 N Market St, Spokane, WA 99207-5813 | 2018-09-07 |
| 1740676683 | Patrick Long | Student in an Organized Health Care Education/Training Program | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2015-04-07 |
| 1811295652 | Patrick M. Long | Rehabilitation Practitioner | 8665 W Flamingo Rd, Ste. 2000, Las Vegas, NV 89147-8621 | 2011-03-02 |
| 1174752273 | Patrick C Long | Student in an Organized Health Care Education/Training Program | 2907 E Joyce Blvd, Fayetteville, AR 72703-5011 | 2009-07-09 |
| 1437222908 | Patrick M. Long | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2006-11-15 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1366073926 | Peter Shaouni | Pharmacist | 15521 W 7 Mile Rd, Detroit, MI 48235-2927 | 2020-01-31 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1073143384 | Marco Santos | Pharmacist | 6862 Michigan Ave, Detroit, MI 48210-2868 | 2020-01-26 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1376025262 | Maeghan Hensler | Pharmacist | 7800 Outer Dr., Detroit, MI 48235 | 2018-09-06 |
| 1417445719 | Wagdi Abdulla | Pharmacist | 14424 Schaefer Hwy, Detroit, MI 48227-3668 | 2018-04-23 |
| 1528579331 | Mahmoud Srour | Pharmacist | 4100 Woodward Ave Ste Pharmacy, Detroit, MI 48201-2173 | 2017-10-19 |
| 1477073039 | Emalee M Osentoski | Pharmacist | 4100 John R St Ste Hp00sp, Detroit, MI 48201-2013 | 2017-06-26 |
| 1144755588 | Eric Foster | Pharmacist | 11574 Roxbury St, Detroit, MI 48224-1141 | 2017-04-24 |
| 1013440460 | Maqsood Ahmad | Pharmacist | 12170 Conant St Ste E, Detroit, MI 48212-4129 | 2017-04-04 |
| Find all providers in DETROIT | ||||
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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.