Earl K. Long Medical Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EARL K. LONG MEDICAL CENTER

Practice address

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Phone

(225) 358-1000

Fax

(225) 358-1003

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald R Smithburg

Title

Vice Chancellor Ceo

Phone

(225) 922-1474

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Louisiana State University Health Sciences Center4 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.

• Earl K Long Medical Center

  • Institutional Pharmacy
  • Baton Rouge, LA
  • NPI 1548271653
  NPD tax ID
• Earl K. Long Medical Center

  • Pharmacy
  • Baton Rouge, LA
  • NPI 1316074016
  NPD tax ID
• Mid-City Pharmacy

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1215194071
  NPD tax ID

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083766620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000",
            "fax_number": "225-358-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL K. LONG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITHBURG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE CHANCELLOR CEO",
        "authorized_official_telephone_number": "225-922-1474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1291170",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maluan Ealy
• Miracle Danielle Ealy
• Robert N. Earhart, MD
• Earl K Long Medical Center
• Earl K Long Medical Center
• Earl K. Long Medical Center
• Earl K. Long Medical Center
• Earl K. Long Medicial Center
• David Earle, LPC
• Ashley Earls

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.