NPIMap

Organization Active NPI

Long'S Drugs of Sandersville, Georgia, Inc.

  • Community/Retail Pharmacy
  • Decatur, GA
National Provider Identifier
1083010177
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010092 Issued in GA
Legal business name
LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.
Doing business as
Long's Dekalb Health Pharmacy
Practice address
1524 Church St
Decatur, GA 30030-6500
Phone
(404) 270-9242
NPI assigned
Nov 17, 2014
Organization subpart
Yes
Parent organization
LONG'S DRUGS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Gillespie
Title
Chief Operating Officer
Phone
(803) 261-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010092 GA Primary

Addresses

Primary practice location

1524 Church St
Decatur, GA 30030-6500

Mailing address

1524 Church St
Decatur, GA 30030-6500
Phone (404) 270-9242

Other names 1

  • Long's Dekalb Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long'S Drugs of Sandersville Georgia Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1524 Church St
Decatur, GA 30030
Phone (404) 270-9242

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1083010177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300306500",
            "telephone_number": "404-270-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300306500",
            "telephone_number": "404-270-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG'S DRUGS INCORPORATED",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "803-261-8827"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long's Dekalb Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.