Active NPI
Melissa Long
- Pharmacist
- Perrysburg, OH
National Provider Identifier
1083995591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03223546
- Practice address
- 10003 Fremont Pike
Perrysburg, OH 43551-3330 - Phone
- (419) 872-8247
- Fax
- (419) 872-8358
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03223546 | OH | Primary |
Addresses
Primary practice location
10003 Fremont Pike
Perrysburg, OH 43551-3330
Mailing address
10003 Fremont Pike
Perrysburg, OH 43551-3330
Phone (419) 872-8247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03223546 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1083995591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10003 FREMONT PIKE",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513330",
"telephone_number": "419-872-8247",
"fax_number": "419-472-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10003 FREMONT PIKE",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435513330",
"telephone_number": "419-872-8247",
"fax_number": "419-872-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03223546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.