Active NPI
Robert Long
- Pharmacy Technician
- Union Gap, WA
National Provider Identifier
1114681541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 2519 Main St
Union Gap, WA 98903-1605 - Phone
- (509) 452-8597
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NU | Primary |
Addresses
Primary practice location
2519 Main St
Union Gap, WA 98903-1605
Mailing address
2519 Main St
Union Gap, WA 98903-1605
Phone (509) 452-8597
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1114681541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 MAIN ST",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031605",
"telephone_number": "509-452-8597",
"fax_number": "509-248-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 MAIN ST",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031605",
"telephone_number": "509-452-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union Gap, WA
- Tara Lynn Kaiser, ARNP
- Kittitas Valley Urgent Care PLLC (Yakima Valley Urgent Care)
- Chun T Lai
- Vu Le, MD
- Adrian Francisco Llamas-Lopez, PHARMACIST
- Luxottica Retail North America Inc (Sears Optical #C0182)
- Kristi A Mahlmann, FNP-BC
- Nancy Liu Matsuura, PHARMD
- Teresa McCulloch
- Medi-Center Group (Valley Medi-Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.