NPIMap

Organization Active NPI

Long Lake RX

  • Community/Retail Pharmacy
  • Troy, MI
National Provider Identifier
1790327252
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LONG LAKE RX
Practice address
2888 East Long Lake Rd #120
Suite 120
Troy, MI 48085
Phone
(313) 732-0000
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Nabil Chehade
Title
Owner
Phone
(313) 732-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2888 East Long Lake Rd #120
Suite 120
Troy, MI 48085

Mailing address

2888 East Long Lake Rd #120
Suite 120
Troy, MI 48085
Phone (313) 732-0000

National Provider Directory

National Provider Directory
Tax ID family
Long Lake RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2888 E Long Lake Rd
Ste 120
Troy, MI 48085
Phone (313) 732-0000

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1790327252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 EAST LONG LAKE RD #120",
            "address_2": "SUITE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "313-732-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 EAST LONG LAKE RD #120",
            "address_2": "SUITE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "313-732-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LAKE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "CHEHADE",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-732-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.