Active NPI
Jillian Christine Long, RPH
- Pharmacist
- Boston, MA
National Provider Identifier
1265947402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236965
- Practice address
- 1349 Commonwealth Ave
Boston, MA 02134-3301 - Phone
- (617) 254-5900
- NPI assigned
- Dec 11, 2017
- Last updated
- Dec 11, 2017
- 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 | PH236965 | MA | Primary |
Addresses
Primary practice location
1349 Commonwealth Ave
Boston, MA 02134-3301
Mailing address
717 Atlantic Ave Apt 4a
Boston, MA 02111-2814
Phone (508) 985-8599
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 |
|---|---|---|---|
| PH236965 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mona Pharmacy Corp | Past | Accepting new patients | |
| Mona Pharmacy Corp | Past | Accepting new patients |
Organizations & group practices 2
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": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1265947402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 ATLANTIC AVE APT 4A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021112814",
"telephone_number": "508-985-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021343301",
"telephone_number": "617-254-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JILLIAN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.