Individual provider Active NPI

Brian Richard Long, PHARMD

  • Pharmacist
  • Somerset, PA
National Provider Identifier
1669953345
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454184 Issued in PA
Practice address
2028 N Center Ave
Somerset, PA 15501-7436
Phone
(814) 443-6963
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37686 SC
Pharmacist 183500000X RP454184 PA Primary

Addresses

Primary practice location

2028 N Center Ave
Somerset, PA 15501-7436

Mailing address

2028 N Center Ave
Somerset, PA 15501-7436
Phone (814) 443-6963

Other practice location 1

1945 W Palmetto St Unit 32
Florence, SC 29501-3918
Phone (843) 673-9107

Other identifiers 2

IdentifierTypeStateIssuer
37686OtherSCSOUTH CAROLINA STATE BOARD OF PHARMACY
RP454184OtherPAPA STATE BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
RP454184PAMDPharmacist
37686SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1669953345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 N CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017436",
            "telephone_number": "814-443-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 N CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017436",
            "telephone_number": "814-443-6963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Palmetto St Unit 32",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295013918",
            "country_code": "US",
            "telephone_number": "843-673-9107",
            "fax_number": "843-673-9109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "37686",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA STATE BOARD OF PHARMACY",
            "identifier": "37686",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF PHARMACY",
            "identifier": "RP454184",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.