STEPHANIE K LONG (NPI# 1114267143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114267143 |
| Entity Type | Individual |
| Full Name | STEPHANIE K LONG |
| Credential | PHARM. D |
| Practice Address |
2221 Enborg Ln San Jose CA 95128-2608 |
| Practice Telephone | 4087936141 |
| Practice Fax Number | 4087936108 |
| Mailing Telephone | 4087936141 |
| Mailing Fax Number | 4087936108 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH47292 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1457858359 | Stephanie Roshelle Long | Counselor | 233 Prospect St Apt 3c, East Orange, NJ 07017-2861 | 2018-04-09 |
| 1639588965 | Stephanie C. Long | Optometrist | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 | 2014-08-12 |
| 1164548343 | Stephanie Lyn Long | Occupational Therapist | 5742 E Orchard Rd, Mooresville, IN 46158-6307 | 2007-03-21 |
| 1508427303 | Stephanie Long | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7199 | 2019-06-24 |
| 1346808581 | Stephanie Anne Long | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2019-06-03 |
| 1104311521 | Stephanie Lauren Long | Occupational Therapist | 409 Park Ave, Adamsville, TN 38310-2461 | 2018-06-27 |
| 1396269452 | Stephanie Diane Long | Physical Therapist | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2017-07-31 |
| 1396280343 | Stephanie Long | Physician Assistant | 505 N Clippert St, Lansing, MI 48912-4701 | 2016-12-29 |
| 1881077022 | Stephanie Long | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2015-07-07 |
| Street Address |
2221 ENBORG LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597167 | Shahbaz Amir Khan | Psychiatry & Neurology | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2006-11-22 |
| 1437756913 | Juan Ramon Zago | Licensed Psychiatric Technician | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2020-10-07 |
| 1295385714 | Lawanda Crystal Avila | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2019-09-17 |
| 1437616158 | Luis Gilberto Negrete | Rehabilitation Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2019-02-28 |
| 1649784323 | Jessica Delila Martinez | Community Health Worker | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2017-11-17 |
| 1285055020 | Antonio Tabboga | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2013-12-20 |
| 1982045019 | William Ikechukwu Eya | Counselor | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2013-07-17 |
| 1922349356 | Edwin Louie | Pharmacist | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2013-03-11 |
| 1326389701 | Huong Nguyen | Pharmacist | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2013-03-08 |
| 1346581857 | Dennis Michael Dwyer | Pharmacist | 2221 Enborg Ln, San Jose, CA 95128-2608 | 2013-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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 |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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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.