Active NPI
Long Lieu
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1710691803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457431
- Practice address
- 5040 City Line Ave
Philadelphia, PA 19131-1435 - Phone
- (215) 877-2116
- Fax
- (215) 877-5064
- NPI assigned
- Jan 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP457431 | PA | Primary |
Addresses
Primary practice location
5040 City Line Ave
Philadelphia, PA 19131-1435
Mailing address
327 W Earlham Ter
Philadelphia, PA 19144-3919
Phone (215) 605-7303
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP457431 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1710691803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 W EARLHAM TER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443919",
"telephone_number": "215-605-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 CITY LINE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311435",
"telephone_number": "215-877-2116",
"fax_number": "215-877-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEU",
"first_name": "LONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.