Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093196859 Individual Practitioner Male Practitioner

Mark Longo , RPH

Pharmacist • Page, AZ

Professional Overview & Biography Verified Profile Summary

Mark Longo, RPH is a registered healthcare professional specializing in Pharmacist in Page, AZ. Practice services are available at 650 ELM STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Elm Street

Page, AZ 86040

Telephone 9286455714
Fax 9286451286
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1447289491

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Page, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Page, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S012588

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacy License
S012588 (AZ)
Commercial Insurance / Payer ID Pharmacy License
151407-1701 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Dylan Ly , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1134479918

Doctor of Pharmacy (Pharm.D.)

Krishna Gondi

Pharmacist

NPI 1174653927
NPI 1306321062

Doctor of Pharmacy (Pharm.D.)

NPI 1326473349

Doctor of Pharmacy (Pharm.D.)

NPI 1336440775

Doctor of Pharmacy (Pharm.D.)

NPI 1356691513

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2015

Registered at 650 ELM STREET, PAGE, AZ 86040 (Tel: 9286455714)

📍
Updated Business Mailing Address June 17, 2015

Registered at 650 ELM ST, PAGE, AZ 86040 (Tel: 9286455714)

👤
Provider Name / Credentials Updated June 17, 2015

Recorded as MARK LONGO, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Pharmacist (License #S012588 in AZ)

🟢
Initial NPI Registration & Enumeration June 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093196859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2015
Last Update: June 17, 2015
Sole Proprietor: Yes

Mailing Address

650 Elm St

Page, AZ 86040

Phone: 9286455714

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.