J Chester Long II

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J CHESTER LONG II

Doing business as

Medicine Shoppe

Practice address

1405 N Park Ave
Alexandria, IN 46001-1466

Phone

(765) 724-2355

Fax

(765) 724-3495

NPI assigned

Nov 15, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

J Chester Long II, RPH

Title

Owner Pharmacist

Phone

(765) 724-2355

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235201021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N PARK AVE",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460011466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N PARK AVE",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460011466",
            "telephone_number": "765-724-2355",
            "fax_number": "765-724-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHESTER LONG II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "765-724-2355",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60002451",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1509427",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100299490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberley Ann Gull, NP
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• Bethany Sue Harlan, MAT, LAT, ATC
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• Jfriedman - Alexandria LLC (Alexandria Family Dental)
• Claudie H. Jimenez, M.D.
• Kluth Family Dentistry Inc.
• Joni L. Kluth, D.D.S.
• Michael K. Kluth, D.D.S.

• Community/Retail Pharmacy in Alexandria, IN
• Providers in Alexandria, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.