LONGS DRUG STORE #733/NETWORK PHARMACY (NPI# 1023027620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023027620 |
Entity Type | Organization |
Organization Name | LONGS DRUG STORE #733/NETWORK PHARMACY |
Practice Address |
12276 Hesperia Rd Victorville CA 92392 |
Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
Practice Telephone | 7609628007 |
Practice Fax Number | 7609628011 |
Mailing Telephone | 9252106660 |
Mailing Fax Number | 9252106222 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LISA M CUETO (MANAGED CARE OPERATIONS MANAGER) |
Authorized Official Telephone | 9252106660 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47581 | CA | Suppliers |
Street Address |
12276 HESPERIA RD |
City | VICTORVILLE |
State | CA |
Zip Code | 92392 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679574594 | Riverside Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Ste 6, Victorville, CA 92395-5838 | 2005-08-02 |
1912097957 | Longs Drug Stores California Inc | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-10-13 |
1831200963 | Sumitha Rajkumar | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-08-31 |
1992723555 | Renaissance Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-07-18 |
1811949548 | Desert Valley Medical Group, Inc. | Family Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-17 |
1124077698 | Venkamma Reddy | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
Find all providers in zip 92392 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841842945 | Unicare Health Inc | Pharmacy | 12401 Hesperia Rd Ste 3, Victorville, CA 92395-5844 | 2019-07-10 |
1174990030 | Vista Care Pharmacy Inc | Pharmacy | 12351 Mariposa Rd # 11, Victorville, CA 92395-6013 | 2015-08-26 |
1861888265 | Greentree Discount Pharmacy, Inc | Pharmacy | 12998 Hesperia Rd Ste 102, Victorville, CA 92395-8317 | 2015-04-13 |
1720328453 | Tilton Nguyen Pharmaceutical Inc | Pharmacy | 15433 W Sand St Ste 102, Victorville, CA 92392-2903 | 2013-02-16 |
1922049840 | Garfield Beach Cvs LLC | Pharmacy | 13650 Bear Valley Rd, Victorville, CA 92392-8827 | 2006-06-10 |
1801879291 | Asr Health Inc. | Pharmacy | 12677 Hesperia Road, Suite 180, Victorville, CA 92395 | 2005-11-21 |
1881019156 | Walmart Inc. | Pharmacy | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2014-02-24 |
1720360852 | Walgreens | Pharmacy | 13655 Bear Valley Rd, Victorville, CA 92392-8521 | 2011-09-14 |
1912237108 | A-dr Reddy Pharmacy | Pharmacy | 12998 Hesperia Rd, Ste 102, Victorville, CA 92395-8316 | 2010-01-11 |
1912097957 | Longs Drug Stores California Inc | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-10-13 |
Find all providers in VICTORVILLE |
City | VICTORVILLE |
Zip Code | 92392 |
Please comment or provide details below to improve the information on LONGS DRUG STORE #733/NETWORK PHARMACY.
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.