Active NPI
Abigail Markus-Longland, PHARMD
- Pharmacist
- Ballwin, MO
National Provider Identifier
1386283018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019028179
- Practice address
- 1393 Big Bend Rd
Ballwin, MO 63021-7620 - Phone
- (636) 225-4633
- NPI assigned
- Dec 28, 2019
- Last updated
- Dec 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.302716 | IL | |
| Pharmacist | 183500000X | 2019028179 | MO | Primary |
Addresses
Primary practice location
1393 Big Bend Rd
Ballwin, MO 63021-7620
Mailing address
2841 Meramar Dr
Saint Louis, MO 63129-5670
Other practice location 1
5519 Oakville Shopping Ctr
Saint Louis, MO 63129-3554
Phone (314) 892-2840
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 |
|---|---|---|---|
| 051.302716 | IL | MD | Pharmacist |
| 2019028179 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1386283018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 MERAMAR DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631295670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 BIG BEND RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217620",
"telephone_number": "636-225-4633"
}
],
"practiceLocations": [
{
"address_1": "5519 Oakville Shopping Ctr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631293554",
"country_code": "US",
"telephone_number": "314-892-2840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKUS-LONGLAND",
"first_name": "ABIGAIL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.302716",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019028179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
- Manan Hearing LLC (Manan Hearing Center)
- Manchester Eye Care, LLC
- Manchester Operator LLC (Manchester Rehab and Healthcare Center)
- Beverly Jo Marien, RN,CNOR, CRNFA
- Lauren Markovich, OT
- Duane Marquart, DC,DACBR
- Bianca Martin, M.A. SLP-CF
- Jihan E Masad
- Anthony Mark Masi, M.D.
- Susan Torrillo Masi, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.