Brittany Long, PHARMD
Individual provider Active NPI Pharmacist · Ada, OH
NPI 1134597461 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1134597461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03334626 (OH)
- Practice address
- 511 W Lincoln Ave
Ada, OH 45810-1201 - Phone
- (419) 772-3784
- NPI assigned
- Sep 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03334626 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Northern University | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
525 S Main St
Ada, OH 45810
Phone (419) 604-3372
511 W Lincoln Ave
Ada, OH 45810
Phone (419) 772-2299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03334626 | OH | Yes |
Addresses
Primary practice location
511 W Lincoln Ave
Ada, OH 45810-1201
Mailing address
525 S. Main St.
Ada, OH 45810
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.