Individual provider Active NPI

Mary Donaldson Long

  • Pharmacist
  • Auburn, AL
National Provider Identifier
1679175434
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16447 Issued in AL
Practice address
333 S College St
Auburn, AL 36830-7431
Phone
(334) 466-8200
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16447 AL Primary

Addresses

Primary practice location

333 S College St
Auburn, AL 36830-7431

Mailing address

2250 Wrights Mill Rd
Auburn, AL 36830-6929
Phone (334) 466-8200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlong@cvshealth.com Direct

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

State licenses

LicenseStateTypeSpecialty
16447ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy LLC PastSince Nov 22, 2020 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1679175434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WRIGHTS MILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306929",
            "telephone_number": "334-466-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S COLLEGE ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307431",
            "telephone_number": "334-466-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY",
        "middle_name": "DONALDSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlong@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "cvs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 S College St",
            "city": "Auburn",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368307431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.