Longwind Product & Service, Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

06693/11.1 Issued in MS

Legal business name

LONGWIND PRODUCT & SERVICE, INC

Practice address

205 W Woodrow Wilson Ave
Jackson, MS 39213-7647

Phone

(601) 366-2215

Fax

(601) 366-9813

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lonnie Walker

Title

Ceo

Phone

(601) 366-2215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1407889934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11838",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392831838",
            "telephone_number": "601-366-2215",
            "fax_number": "601-366-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137647",
            "telephone_number": "601-366-2215",
            "fax_number": "601-366-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWIND PRODUCT & SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-366-2215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "06693/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440160",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Craig Long, M.D., PHARMD
• Sherrie R Long, NP
• Ahmer Arif Longi, M.D.
• Cache Longmire, FNP-C
• Robyn Amber Longood
• Lora Jenkins Lonidier, NP
• Max Raul Lopez
• Lori J. Fulton, M.D.
• Lose/Control LLC (Lose/Control)
• Adrain Lott, RRT

• Parenteral & Enteral Nutrition Supplies (DME) in Jackson, MS
• Providers in Jackson, MS by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.