Active NPI
Christine Long, PHARMD
- Pharmacist
- Flagstaff, AZ
National Provider Identifier
1144864794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025209
- Practice address
- 2601 E Huntington Dr
Flagstaff, AZ 86004-8927 - Phone
- (928) 774-3409
- NPI assigned
- Nov 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHCY-00888 | NH | |
| Pharmacist | 183500000X | S025209 | AZ | Primary |
Addresses
Primary practice location
2601 E Huntington Dr
Flagstaff, AZ 86004-8927
Mailing address
4391 E Hollygreen Rd
Flagstaff, AZ 86004-2674
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S025209 | AZ | MD | Pharmacist |
| PHCY-00888 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1144864794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4391 E HOLLYGREEN RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E HUNTINGTON DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860048927",
"telephone_number": "928-774-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CHRISTINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "PHCY-00888",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.