Healthcare Provider Details

I. General information

NPI: 1487295192
Provider Name (Legal Business Name): STEVEN LONGERBONE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17447 CAREY RD
WESTFIELD IN
46074-9439
US

IV. Provider business mailing address

17447 CAREY RD
WESTFIELD IN
46074-9439
US

V. Phone/Fax

Practice location:
  • Phone: 317-867-3022
  • Fax:
Mailing address:
  • Phone: 317-867-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26027815A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: