Active NPI
Taylor Long
- Pharmacist
- Rockledge, FL
National Provider Identifier
1225760648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66005
- Practice address
- 5380 Stadium Pkwy
Rockledge, FL 32955-6423 - Phone
- (321) 433-1789
- NPI assigned
- Jun 24, 2022
- Last updated
- Aug 2, 2023
- 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 | PS66005 | FL | Primary |
Addresses
Primary practice location
5380 Stadium Pkwy
Rockledge, FL 32955-6423
Mailing address
5380 Stadium Pkwy
Rockledge, FL 32955-6423
Other practice location 1
7777 N Wickham Rd
Melbourne, FL 32940-7976
Phone (321) 253-1303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66005 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1225760648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 STADIUM PKWY",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 STADIUM PKWY",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556423",
"telephone_number": "321-433-1789"
}
],
"practiceLocations": [
{
"address_1": "7777 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407976",
"country_code": "US",
"telephone_number": "321-253-1303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.