Active NPI
Brie Edgerton Long, PHARM.D.
- Pharmacist
- Nahunta, GA
National Provider Identifier
1295453579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019522
- Practice address
- 13202 Cleveland St W
Nahunta, GA 31553-2875 - Phone
- (912) 462-3784
- NPI assigned
- Aug 22, 2022
- Last updated
- Aug 22, 2022
- 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 | 019522 | GA | Primary |
Addresses
Primary practice location
13202 Cleveland St W
Nahunta, GA 31553-2875
Mailing address
13202 Cleveland St W
Nahunta, GA 31553-2875
Phone (912) 462-3784
Other practice location 1
3150 US Highway 84
Blackshear, GA 31516-4944
Phone (912) 449-1400
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019522 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennetts Hometown Pharmacy- Blackshear LLC | Past | Accepting new patients | |
| Pierce Family Pharmacy Inc | Past | Accepting new patients | |
| Bennett's Hometown Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Nahunta, GA
- NPI 1902963648
-
dba Pierce Family Pharmacy
- Community/Retail Pharmacy
- Blackshear, GA
- NPI 1093280539
-
dba Pierce Family Health Mart Pharmacy
- Community/Retail Pharmacy
- Blackshear, GA
- NPI 1144555996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1295453579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13202 CLEVELAND ST W",
"city": "NAHUNTA",
"state": "GA",
"postal_code": "315532875",
"telephone_number": "912-462-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13202 CLEVELAND ST W",
"city": "NAHUNTA",
"state": "GA",
"postal_code": "315532875",
"telephone_number": "912-462-3784"
}
],
"practiceLocations": [
{
"address_1": "3150 US Highway 84",
"address_purpose": "LOCATION",
"city": "Blackshear",
"state": "GA",
"postal_code": "315164944",
"country_code": "US",
"telephone_number": "912-449-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "BRIE",
"middle_name": "EDGERTON",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "019522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nahunta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.