J CHESTER LONG II (NPI# 1235201021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235201021 |
| Entity Type | Organization |
| Organization Name | J CHESTER LONG II |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
1405 N Park Ave Alexandria IN 46001-1466 |
| Practice Telephone | 7657242355 |
| Practice Fax Number | 7657243495 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | J CHESTER LONG II (OWNER PHARMACIST) |
| Authorized Official Telephone | 7657242355 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 60002451 | IN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1509427 | 01 | |
| IN | 100299490 | 05 | |
| IN | DEA # | AA7951812 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
1405 N PARK AVE |
| City | ALEXANDRIA |
| State | IN |
| Zip Code | 46001-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293187 | Amber Marie Wisehart | Nurse Practitioner | 121 W Washington St, Alexandria, IN 46001 | 2018-04-24 |
| 1629504709 | Melissa Rex | Speech-Language Pathologist | 1912 S Park Ave, Alexandria, IN 46001 | 2017-05-10 |
| 1427497932 | Yochana R Gavva | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001 | 2013-06-18 |
| 1538530407 | Mitchel Yeagy | Specialist/Technologist | 305 N Edgeway Dr, Alexandria, IN 46001-1603 | 2015-10-16 |
| 1306039839 | Jessica Lee Cottrell | Licensed Practical Nurse | 604 W Broadway St, Alexandria, IN 46001-1721 | 2007-08-17 |
| 1982245239 | Drew Joseph Gleitsmann | Psychologist | 121 W Washington St, Alexandria, IN 46001-1809 | 2019-10-07 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1821098005 | David C Steele | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2005-07-28 |
| 1528540218 | Jfriedman - Alexandria LLC | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2018-08-30 |
| 1871696559 | Hook Superx LLC | Pharmacy | 105 N Park Ave, Alexandria, IN 46001-2055 | 2006-09-07 |
| Find all providers in zip 46001 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1427570258 | Medplus Ac Inc. | Pharmacy | 6020 Richmond Hwy Ste 202, Alexandria, VA 22303-2157 | 2017-07-13 |
| 1346777000 | Old Dominion Pharmacy LLC | Pharmacy | 8792 Sacramento Dr, Suite I, Alexandria, VA 22309-1676 | 2017-05-12 |
| 1467861161 | Harris Teeter LLC | Pharmacy | 735 N Saint Asaph St, Alexandria, VA 22314-1911 | 2014-08-06 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1801134028 | Wildel, LLC | Pharmacy | 403 Bolton Ave, Alexandria, LA 71301-7026 | 2013-01-23 |
| 1467767194 | Wildel, LLC | Pharmacy | 3311 3rd St, Alexandria, LA 71302-5704 | 2010-08-18 |
| 1568620946 | Walgreen Co | Pharmacy | 7629 Richmond Hwy, Alexandria, VA 22306-2802 | 2008-06-02 |
| 1215123096 | Walgreen Co | Pharmacy | 615 King St, Alexandria, VA 22314-3105 | 2007-09-14 |
| 1649474453 | Wildel, LLC | Pharmacy | 4740 Jackson Street Ext, Alexandria, LA 71303-2505 | 2007-06-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 46001 |
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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.