LONGS DRUG STORES CALIFORNIA LLC (NPI# 1083656805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083656805 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | LONGS DRUGS #09220 |
| Practice Address |
4211 Waialae Ave Honolulu HI 96816-5306 |
| Mailing Address |
One Cvs Drive Box 1075 Woonsocket RI 02895 |
| Practice Telephone | 8087320782 |
| Practice Fax Number | 8087378665 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | SUSAN F 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 |
PHY111 | HI | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 8281801 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1200396 | 01 |
| Other Name | Type Code |
|---|---|
| LONGS DRUGS #09220 | 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 |
4211 WAIALAE AVE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457317 | Sheri Sloggett Shanks | Psychologist | 4211 Waialae Ave, Suite 206a, Honolulu, HI 96816-5319 | 2006-05-24 |
| 1699301408 | Elizabeth A Pavlik | Nurse Practitioner | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2020-03-13 |
| 1902366099 | Grisel M Reyes-dennis | Nurse Practitioner | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2019-03-23 |
| 1891285664 | Marchael T Andres | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-05-16 |
| 1134621352 | Glenn Morikawa | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-03-03 |
| 1710488606 | Kenna Muramoto | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-02-26 |
| 1972001337 | Angelica Hong | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2018-01-31 |
| 1750821278 | Cassie Robinson | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2017-03-02 |
| 1417402082 | Jamie Mizusawa | Pharmacist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2016-08-24 |
| 1588012884 | Nadalin Inc | Massage Therapist | 4211 Waialae Ave, Honolulu, HI 96816-5319 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| 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 |
|---|---|---|---|---|
| 1881160901 | Hawaii-rx LLC | Pharmacy | 1150 S King St Ste 1105, Honolulu, HI 96814-1954 | 2018-10-16 |
| 1992160592 | 5 Minute Pharmacy Kkv LLC | Pharmacy | 2229 N School St Ste 101, Honolulu, HI 96819-2588 | 2015-12-23 |
| 1356776751 | Honolulu Pharmacy Inc | Pharmacy | 1188 Bishop St Ste 2303, Honolulu, HI 96813-3309 | 2013-09-05 |
| 1164782611 | R Weinstein Immunization & Prescription Services LLC | Pharmacy | 846 Pohukaina St # F, Honolulu, HI 96813-5300 | 2012-05-17 |
| 1073882387 | Central Fill Pharmacy | Pharmacy | 3375 Koapaka St Ste F245, Honolulu, HI 96819-1881 | 2011-12-16 |
| 1083903264 | Wellness Pharmacy Store 2 Inc | Pharmacy | 1120 Maunakea St Ste 102, Honolulu, HI 96817-5173 | 2011-03-29 |
| 1780982686 | Good Health Pharmacy, LLC | Pharmacy | 1120 Maunakea St Ste 173, Honolulu, HI 96817-5198 | 2011-03-02 |
| 1285931337 | Pharmal LLC | Pharmacy | 1188 Bishop St Ste 1001, Honolulu, HI 96813-3304 | 2011-02-24 |
| 1508097494 | Dth2 Investment, LLC | Pharmacy | 2875 Koapaka St Ste A, Honolulu, HI 96819-1987 | 2009-07-27 |
| 1104962463 | Outrigger Shops Ltd | Pharmacy | 2330 Kuhio Ave, Honolulu, HI 96815-2951 | 2007-01-30 |
| Find all providers in HONOLULU | ||||
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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.