Nathan Thomas Long, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

25459 Issued in NC

Practice address

117 Emily LN
Youngsville, NC 27596-9681

Phone

(405) 208-1896

NPI assigned

Sep 5, 2011

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Pawnee Drug, L.L.C.

  dba Pawnee Drug

  • Community/Retail Pharmacy
  • Pawnee, OK
  • NPI 1588939896
  Authorized official Same address or phone
• Opportunities Industrialization Center, Inc

  dba OIC Pharmacy

  • Clinic Pharmacy
  • Rocky Mount, NC
  • NPI 1902396732
  NPD (past)

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1578844528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 EMILY LN",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969681",
            "telephone_number": "405-208-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EMILY LN",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969681",
            "telephone_number": "405-208-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-05",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14477",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kearney DDS PLLC (North Raleigh Dental Studio)
• Chelsea Lee
• Louisette Leger
• Virginia A. Lightner, M.D., PHD
• Loginclinics, PLLC (Healix Health)
• Delany Loonam, CCC-SLP
• Benjamin Joseph Mastridge, MSN, PMHAPRN-BC
• Eric Justin Mastridge
• Caitlin McCarthy, NTP
• Jacob Allan McNair, D.C.

• Pharmacist in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.