Dort Longway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009732 Issued in MI

Legal business name

DORT LONGWAY PHARMACY LLC

Practice address

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503-2190

Phone

(810) 235-2800

Fax

(810) 235-2803

NPI assigned

Jan 2, 2012

Organization subpart

No

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

Authorized official

Name

Ahmed Zaki

Title

Ceo/President

Phone

(810) 813-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dort Longway Pharmacy Doing business as

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1699045013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD",
            "address_2": "STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2800",
            "fax_number": "810-235-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD",
            "address_2": "STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2800",
            "fax_number": "810-235-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORT LONGWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "ZAKI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "810-813-0040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dort Longway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Nichole Doody, LMSW
• Anthony Michael Doolan, PA
• Madeline Dooley
• Pragna Choudary Doppalapudi
• Dort Drugs LLC
• Dort Pharmacy LLC
• Jordan Dortman
• Jennifer J Dosh
• Kenyetta Velores Dotson, BAS
• Susan L Doty, DDS MS

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.