Active NPI
Paden Long, RPH
- Pharmacist
- Crown Point, IN
National Provider Identifier
1659975449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028721A
- Practice address
- 100 East U.S. 231
Crown Point, IN 46307 - Phone
- (219) 662-8893
- NPI assigned
- Nov 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 051303299 | IL | |
| Pharmacist | 183500000X | 26028721A | IN | Primary |
Addresses
Primary practice location
100 East U.S. 231
Crown Point, IN 46307
Mailing address
904 Jordan Cir
Schererville, IN 46375-2280
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051303299 | IL | MD | Pharmacist |
| 26028721A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1659975449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 JORDAN CIR",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST U.S. 231",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-662-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "PADEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303299",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028721A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.