Active NPI
Tammy Tyndall Long, RPH
- Pharmacist
- Saint Pauls, NC
National Provider Identifier
1174173140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13334
- Practice address
- 217 W Broad St
Saint Pauls, NC 28384-1533 - Phone
- (910) 865-4135
- Fax
- (910) 865-3000
- NPI assigned
- Sep 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13334 | NC | Primary |
Addresses
Primary practice location
217 W Broad St
Saint Pauls, NC 28384-1533
Mailing address
1412 Vergeland Dr
Hope Mills, NC 28348-7548
Phone (910) 624-2025
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13334 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1174173140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 VERGELAND DR",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283487548",
"telephone_number": "910-624-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W BROAD ST",
"city": "SAINT PAULS",
"state": "NC",
"postal_code": "283841533",
"telephone_number": "910-865-4135",
"fax_number": "910-865-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "TAMMY",
"middle_name": "TYNDALL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Pauls, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.