SUSAN O LONG (NPI# 1669592507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669592507 |
| Entity Type | Individual |
| Full Name | SUSAN O LONG |
| Credential | RPH |
| Practice Address |
13245 Lee Hwy Bristol VA 24202-5963 |
| Mailing Address |
116 Solar St Bristol VA 24201-4139 |
| Practice Telephone | 2764660319 |
| Mailing Telephone | 2766696457 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10365 | TN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202006630 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780962084 | Susan C Long | Nurse Practitioner | 820 Harrison Avenue, Dowling North, 5108, Boston, MA 02118-0000 | 2011-08-03 |
| 1356582639 | Susan Katharine Long | Social Worker | 3150 Cardinal Dr Ste 200, Vero Beach, FL 32963-1931 | 2009-03-16 |
| 1275704868 | Susan Michele Long | Speech-Language Pathologist | 3231 N Ellis St, Chandler, AZ 85224-1068 | 2008-03-21 |
| 1316143522 | Susan Louise Long | Home Health Aide | 275 Horton Sisters Rd, Oak Hill, OH 45656-9760 | 2007-06-25 |
| 1679777387 | Susan P Long | Speech-Language Pathologist | 22633 Imperial Rd, Maryville, MO 64468-7385 | 2007-06-14 |
| 1861608333 | Susan Joy Long | Marriage & Family Therapist | 309 Elm Ave, Tillamook, OR 97141-3437 | 2007-05-14 |
| 1326104787 | Susan Long | Technician/Technologist | 1300 W I-40 Frontage Rd Ste 322, Gallup, NM 87301-3323 | 2006-12-29 |
| 1831268689 | Susan Long | Dentist | 24331 Ford Rd, Dearborn, MI 48128-1129 | 2006-11-07 |
| 1831112887 | Susan E Long | Family Medicine | 212 Girard Ave, Glenside, PA 19038-1010 | 2006-07-25 |
| 1699260059 | Susan Long | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301 | 2018-06-28 |
| Street Address |
13245 LEE HWY |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904818 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 13245 Lee Hwy, Bristol, VA 24202-5963 | 2006-07-16 |
| 1679173371 | Victoria Davis | Pharmacist | 13245 Lee Hwy, Bristol, VA 24202-5963 | 2020-10-30 |
| 1871029827 | Christopher Watson | Pharmacist | 13245 Lee Hwy, Bristol, VA 24202-5963 | 2017-05-11 |
| 1447460225 | Beth Lynne Morgan I | Optometrist | 13245 Lee Hwy, Bristol, VA 24202-5963 | 2007-05-23 |
| 1023191632 | Wal-mart Stores East, Lp | Technician/Technologist | 13245 Lee Hwy, Bristol, VA 24202-5963 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
| 1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| Find all providers in zip 24202 | ||||
| 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 |
|---|---|---|---|---|
| 1073113791 | Jamie Lester | Pharmacist | 21531 Market Ctr, Bristol, VA 24202-1808 | 2020-10-30 |
| 1699281113 | Mythili Tarala | Pharmacist | 54 Bonnie Ct, Bristol, CT 06010-5994 | 2017-12-19 |
| 1750897666 | Ray Mcclellan Massengill IIi | Pharmacist | 15767 Monticello Dr, Bristol, VA 24202-4113 | 2017-12-15 |
| 1740703065 | Robert Christopher Isner Jr. | Pharmacist | 430 N Main St Ste A, Bristol, CT 06010-4117 | 2017-07-18 |
| 1033647755 | Alyssa Emily Capuano | Pharmacist | 2 Betsy Dr, Bristol, RI 02809-4552 | 2017-05-24 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1215324611 | George Le | Pharmacist | 90 Maheu St, Bristol, CT 06010-3049 | 2015-04-23 |
| 1457783490 | Amber Lynn Schreiner | Pharmacist | 1 Prince Ln, Bristol, VT 05443-1224 | 2013-08-01 |
| 1306282884 | Penni Anne Cheatle | Pharmacist | 160 Indiana St, Bristol, CT 06010-9138 | 2013-05-10 |
| 1932451473 | Katrina A Yoder | Pharmacist | 300 E Elkhart St, Bristol, IN 46507-9205 | 2012-10-08 |
| Find all providers in BRISTOL | ||||
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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.