Active NPI
Gregory Long, RPH
- Pharmacist
- Bowling Green, OH
National Provider Identifier
1790276475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03226201
- Practice address
- 1010 N Prospect St Ste 56
Bowling Green, OH 43402-1335 - Phone
- (419) 419-0104
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 03226201 | OH | Primary |
Addresses
Primary practice location
1010 N Prospect St Ste 56
Bowling Green, OH 43402-1335
Mailing address
1010 N. Prospect, Suite 56
PO Box 409
Bowling Green, OH 43402
Phone (419) 419-0104
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 |
|---|---|---|---|
| 03226201 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Past | Accepting new patients | |
| Genoa Healthcare LLC | Past | 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.
-
- Long Term Care Pharmacy
- Bowling Green, OH
- NPI 1558871913
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1790276475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N. PROSPECT, SUITE 56",
"address_2": "PO BOX 409",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "43402",
"telephone_number": "419-419-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N PROSPECT ST STE 56",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021335",
"telephone_number": "419-419-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "GREGORY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03226201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.