LONGS DRUG STORES CALIFORNIA LLC (NPI# 1003858820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003858820 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09546 |
| Practice Address |
3251 Stanford Ranch Rd Rocklin CA 95765-5553 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9164358711 |
| Practice Fax Number | 9164359019 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49679 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0586719 | 01 | |
| CA | 1003858820 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09546 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869340 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 988 Halekauwila St, Honolulu, HI 96814-4013 | 2019-09-09 |
| 1205203544 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 5156 Kalanianaole Hwy, Honolulu, HI 96821-1507 | 2015-08-21 |
| 1154707537 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 2829 Ala Kalani Kaumaka St, Ste M-167, Koloa, HI 96756-8571 | 2015-08-07 |
| 1376934026 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 275 W Kaahumanu Ave # 1c01a, Kahului, HI 96732-1629 | 2015-02-16 |
| 1295123636 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 100 Hookele St, Kahului, HI 96732 | 2015-01-08 |
| 1073959144 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 841 Bishop St, Suite 105, Honolulu, HI 96813-3908 | 2013-05-16 |
| 1831447861 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2012-08-23 |
| 1992062970 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 95-1077 Ainamakua Dr, Mililani, HI 96789-4252 | 2012-04-16 |
| 1144523465 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 91-919 Ft Weaver Rd Spc 106, Ewa Beach, HI 96706 | 2010-12-08 |
| 1689977001 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 19701 Vanowen St, Winnetka, CA 91306-3927 | 2010-12-07 |
| Street Address |
3251 STANFORD RANCH RD |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553159 | Tricia Masaye Ishimoto | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-13 |
| 1669037347 | Joshua Y Kim | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-07 |
| 1285299685 | Ha Ngoc Tran | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-01 |
| 1710413737 | Bryan Katuin | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2017-05-11 |
| 1164957973 | Brian William Hinsey I | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2017-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194807297 | Aids for Daily Living, Inc. | Pharmacy | 1140 Sunset Blvd, Suite #140, Rocklin, CA 95765-3770 | 2006-10-19 |
| 1962515767 | Gomes Enterprises | Pharmacy | 3101 Sunset Blvd Ste 2a, Rocklin, CA 95677-3097 | 2006-08-16 |
| 1992722128 | Walmart Inc. | Pharmacy | 5454 Crossings Dr, Rocklin, CA 95677-3919 | 2006-07-16 |
| 1285671958 | Albertsons LLC | Pharmacy | 3021 Stanford Ranch Rd, Rocklin, CA 95765-5537 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.