Organization Active NPI

Longbella Drug Inc

Doing business as Longbella Drug Motley

  • Community/Retail Pharmacy
  • Motley, MN
National Provider Identifier
1629014014
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
261537 Issued in MN
Legal business name
LONGBELLA DRUG INC
Doing business as
Longbella Drug Motley
Practice address
1233 Highway 10 S
Motley, MN 56466-8210
Phone
(218) 352-6337
Fax
(218) 352-6904
NPI assigned
Jun 22, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Lani Longbellaroberts
Title
RPH Pres
Phone
(218) 352-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 261537 MN Primary

Addresses

Primary practice location

1233 Highway 10 S
Motley, MN 56466-8210

Mailing address

1233 Highway 10 S
Motley, MN 56466-8210
Phone (218) 352-6337

Other identifiers 2

IdentifierTypeStateIssuer
028712100MedicaidMN
2047847OtherPK

Other names 1

  • LONGBELLA DRUG MOTLEY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1629014014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 HIGHWAY 10 S",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564668210",
            "telephone_number": "218-352-6337",
            "fax_number": "218-352-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 HIGHWAY 10 S",
            "city": "MOTLEY",
            "state": "MN",
            "postal_code": "564668210",
            "telephone_number": "218-352-6337",
            "fax_number": "218-352-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGBELLA DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "LONGBELLAROBERTS",
        "authorized_official_first_name": "LANI",
        "authorized_official_title_or_position": "RPH PRES",
        "authorized_official_telephone_number": "218-352-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028712100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGBELLA DRUG MOTLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Motley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.