Active NPI
Deborah Lynn Long
- Pharmacist
- Creston, IA
National Provider Identifier
1366062952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16590
- Practice address
- 600 Sheldon St
Creston, IA 50801-3322 - Phone
- (641) 782-8417
- NPI assigned
- Apr 23, 2020
- 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 | 16590 | IA | Primary |
Addresses
Primary practice location
600 Sheldon St
Creston, IA 50801-3322
Mailing address
600 Sheldon Ave
Creston, IA 50801
Phone (641) 782-8417
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 1095pharmacymgr@hy-vee.com |
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 |
|---|---|---|---|
| 16590 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1366062952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SHELDON AVE",
"city": "CRESTON",
"state": "IA",
"postal_code": "50801",
"telephone_number": "641-782-8417",
"fax_number": "641-782-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SHELDON ST",
"city": "CRESTON",
"state": "IA",
"postal_code": "508013322",
"telephone_number": "641-782-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16590",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "1095pharmacymgr@hy-vee.com",
"affiliation": "N",
"address_1": "600 Sheldon St",
"city": "Creston",
"state": "IA",
"country_code": "US",
"postal_code": "508013322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Creston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.