Jared Longlais, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18808-40 Issued in WI

Practice address

8500 W Capitol Dr
Milwaukee, WI 53222-1869

Phone

(414) 463-1111

Fax

(414) 463-1112

NPI assigned

Nov 28, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Hayat Pharmacy 5 LLC

  dba Hayat Pharmacy 5

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1114224649
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811401979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 N HUMBOLDT AVE LOWR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021664",
            "telephone_number": "720-737-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221869",
            "telephone_number": "414-463-1111",
            "fax_number": "414-463-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753 N Humboldt Ave Lowr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532021664",
            "country_code": "US",
            "telephone_number": "720-737-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532051155",
            "country_code": "US",
            "telephone_number": "414-374-0000",
            "fax_number": "414-374-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGLAIS",
        "first_name": "JARED",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18808-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "18808-40",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Long, RN
• Susan M Long, MS
• Folashade Olubukola Longe
• Sarah Longenecker, CHC
• Kathleen Poag Longeway, PHD
• Pamela Longley
• Alfred Patrick Longo, D.D.S.
• John Maclou Longo, M.D.
• Walter L Longo, MD
• Greta Ellen Longreen, PTA

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.