DR. SHON MICHAEL LONG (NPI# 1871004986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871004986 |
| Entity Type | Individual |
| Full Name | DR. SHON MICHAEL LONG |
| Credential | PHARMD |
| Practice Address |
1600 Federal Dr Montgomery AL 36107-1128 |
| Mailing Address |
5015 Jim Goggans Rd Dora AL 35062-1808 |
| Practice Telephone | 3347775871 |
| Mailing Telephone | 2055147877 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20085 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF PHARMACY | 20085 | 01 |
| Street Address |
1600 FEDERAL DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36107-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005819 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1600 Federal Dr, Montgomery, AL 36107-1128 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696701 | Heart2heart Transportation,llc | Non-emergency Medical Transport (VAN) | 2507 Madison Avenue, Montgomery, AL 36107 | 2020-07-16 |
| 1538638168 | Lifeline By B&v LLC | Adult Companion | 1460 Ann St Ste F, Montgomery, AL 36107 | 2018-11-13 |
| 1558545640 | Sheri R Stewart | Physical Therapist | 310 North Madison Terrace, Montgomery, AL 36107 | 2007-12-26 |
| 1619190998 | State of Alabama Dept of Mental Health & Mental Retardation | Psychiatric Hospital | 2140 Upper Wetumpka Road, Montgomery, AL 36107 | 2007-04-11 |
| 1275615601 | Wal-mart Stores East, Lp | Technician/Technologist | 851 Ann St., Montgomery, AL 36107 | 2006-10-19 |
| 1184736134 | Boatnerwerks | Pharmacy | 1751 Upper Wetumpka Road, Montgomery, AL 36107 | 2006-08-31 |
| 1518217876 | Nakeetsha Dryer | Nurse Practitioner | 2140 Upper Wetumpka Rd, Montgomery, AL 36107 | 2012-09-13 |
| 1053535294 | Helen J Thompson | Psychologist | 2140 Upper Wetumpka Road, Montomgery, AL 36107 | 2007-04-12 |
| 1295871556 | Evelyn Simpkins Evans | Pediatrics | Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 | 2007-01-30 |
| 1427521962 | Health Services, Inc | Family Medicine | 2801 Willena Ave, Montgomery, AL 36107-1055 | 2019-01-08 |
| Find all providers in zip 36107 | ||||
| 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 |
|---|---|---|---|---|
| 1275148389 | Jovan Maurice Dudley | Pharmacist | 2180 Woodforest Pkwy N, Montgomery, TX 77316-6958 | 2020-09-15 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| 1003427493 | James Miracle | Pharmacist | 2015 Normandie Dr, Montgomery, AL 36111-2711 | 2020-08-11 |
| 1245754613 | Matthew Alan Cole | Pharmacist | 215 Perry Hill Rd Dept 119, Montgomery, AL 36109-3725 | 2017-07-27 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1043675895 | Payal Patel | Pharmacist | 7932 Vaughn Rd, Montgomery, AL 36116-6625 | 2015-12-21 |
| 1366837072 | John Tyler Rinker | Pharmacist | 10472 Duncannon Trl, Montgomery, AL 36117-1201 | 2015-03-30 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1548659006 | Gary Frazier Jr. | Pharmacist | 2300 E South Blvd, Montgomery, AL 36116-2504 | 2015-01-21 |
| 1437554508 | Robert Hassett | Pharmacist | 1028 Magnolia Curv, Montgomery, AL 36106-2133 | 2014-10-30 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36107 |
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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.