ELIZABETH LONG (NPI# 1427669191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427669191 |
| Entity Type | Individual |
| Full Name | ELIZABETH LONG |
| Credential | PHARM.D. |
| Practice Address |
4995 E Us Route 36 Decatur IL 62521-9701 |
| Practice Telephone | 2178649866 |
| Practice Fax Number | 2178646986 |
| Mailing Telephone | 2178649866 |
| Mailing Fax Number | 2178646986 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051041192 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1336409770 | Elizabeth Perry Long | Lactation Consultant, Non-RN | 4004 Keble Dr, Charlotte, NC 28269-1405 | 2012-05-19 |
| 1467764134 | Elizabeth Noami Long | Counselor | 1003 E Main St Ste 104, Medford, OR 97504 | 2010-07-09 |
| 1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
| 1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
| 1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
| 1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
| 1194372102 | Elizabeth Long | Social Worker | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2019-08-23 |
| Street Address |
4995 E US ROUTE 36 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114932415 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2006-07-29 |
| 1598049355 | Van J Frownfelter | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2011-09-28 |
| 1508144056 | Grace Frazier | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2011-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1811515927 | Kristin Lynne Mcdonald | Pharmacist | 82 Deerfield Ln, Decatur, MS 39327-8977 | 2020-07-06 |
| 1629699699 | Samantha Camille Ricks | Pharmacist | 2641 E College Ave Apt 736, Decatur, GA 30030-3380 | 2020-04-30 |
| 1447886056 | Sawapha Verduci | Pharmacist | 1375 Thomas Rd, Decatur, GA 30030-4622 | 2020-03-14 |
| 1386280949 | Kelsie Burner | Pharmacist | 1818 Airport Plz, Decatur, IL 62521-9717 | 2019-11-19 |
| 1699319541 | Thao Trinh Nguyen | Pharmacist | 1130 N Jamestown Rd Apt 305, Decatur, GA 30033-7118 | 2019-11-04 |
| 1770067506 | Abdul Wahab | Pharmacist | 3517 Clubhouse Cir E Apt A, Decatur, GA 30032-2006 | 2018-09-18 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1639604408 | Mahesh Patel | Pharmacist | 2579 Lawrenceville Hwy, Decatur, GA 30033-3206 | 2017-04-28 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1831568278 | Omeka Clark | Pharmacist | 1670 Clairmont Road (119), Decatur, GA 30033 | 2015-09-16 |
| Find all providers in DECATUR | ||||
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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.