Long Lake RX Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011359 Issued in MI

Legal business name

LONG LAKE RX PHARMACY LLC

Practice address

2888 E Long Lake Rd
Troy, MI 48085-3793

Phone

(586) 822-0336

Fax

(425) 486-6367

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanveer HussainNPI 1558802199

Title

President

Phone

(586) 822-0336

Specialties & licenses 1

Addresses

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.

• Long Lake RX

  • Community/Retail Pharmacy
  • Troy, MI
  • NPI 1790327252
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanveer Hussain

  • Home Health Aide
  • Sterling Heights, MI
  • NPI 1558802199
  Authorized official Same address or phone

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1851898035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "586-822-0336",
            "fax_number": "425-486-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853793",
            "telephone_number": "586-822-0336",
            "fax_number": "425-486-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LAKE RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-822-0336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A London, MD
• Long Lake Anesthesiology Consultants, PLC
• Long Lake Podiatry PC
• Long Lake Podiatry PC
• Long Lake RX
• April Long, PHARMD
• Graham W Long, MD
• Victoria Ann Longton, OTR/L
• Vivek Loomba, MD
• Christina Marie Loose

• Community/Retail Pharmacy in Troy, MI
• Providers in Troy, 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 Apr 12, 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.