Long Beach Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06270 Issued in MS

Legal business name

LONG BEACH DRUGS LLC

Practice address

5107 Beatline Rd
Suite 100
Long Beach, MS 39560-3871

Phone

(228) 822-9868

Fax

(228) 822-2312

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Laurel Malley

Title

Owner/Pharm

Phone

(228) 822-9868

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Long Beach Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1962599159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 BEATLINE RD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603871",
            "telephone_number": "228-822-9868",
            "fax_number": "228-822-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 BEATLINE RD",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603871",
            "telephone_number": "228-822-9868",
            "fax_number": "228-822-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER/PHARM",
        "authorized_official_telephone_number": "228-822-9868"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "06270",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2521854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04689397",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Lamey, LCSW
• Chelsea Landwehr, LCSW
• Arlin W Lang, LPC
• George Louis Leonard, M.D.
• Pamela Libys
• Long Beach Drugs, LLC
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• Long Beach Precision Vision LLC
• Amber Lynn Lowe, LMSW
• Gerri Mack, FNP-C

• All providers in Long Beach, MS
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.