Active NPI
Lonnie D Long, DPH
- Pharmacist
- Altus, OK
National Provider Identifier
1184723199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9287
- Practice address
- 1122 N Main St
Altus, OK 73521-3122 - Phone
- (580) 477-0381
- Fax
- (580) 477-1749
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 9287 | OK | Primary |
Addresses
Primary practice location
1122 N Main St
Altus, OK 73521-3122
Mailing address
1122 N Main St
Altus, OK 73521-3122
Phone (580) 477-0381
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rexco Drug of Altus Inc | Current | Accepting new patients |
Locations
1122 N Main St
Altus, OK 73521
Phone (580) 477-0371
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184723199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 N MAIN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213122",
"telephone_number": "580-477-0381",
"fax_number": "580-477-1749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 N MAIN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213122",
"telephone_number": "580-477-0381",
"fax_number": "580-477-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "LONNIE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.