LONGS DRUG STORES CALIFORNIA LLC (NPI# 1104869940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869940 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09607 |
| Practice Address |
901 Silver Spur Rd Rolling Hills Estates CA 90274-3805 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3103776745 |
| Practice Fax Number | 3103775686 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-10-13 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49467 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0505024 | 01 | |
| CA | 1104869940 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09607 | 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 |
901 SILVER SPUR RD |
| City | ROLLING HILLS ESTATES |
| State | CA |
| Zip Code | 90274-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654508 | Krystal Ly Han | Pharmacist | 901 Silver Spur Rd, Rolling Hills Estates, CA 90274-3805 | 2019-02-06 |
| 1104305192 | Michelle Minh Doan | Pharmacist | 901 Silver Spur Rd, Rolling Hills Estates, CA 90274-3805 | 2018-08-09 |
| 1407342009 | Miwako Hisagi | Audiologist | 901 Silver Spur Rd, Rolling Hills Estates, CA 90274-3805 | 2018-07-06 |
| 1487194239 | Cvs Aoc Services, L.L.C. | Audiologist | 901 Silver Spur Rd, Rolling Hills Estates, CA 90274-3805 | 2017-02-27 |
| 1558550467 | Melissa Marie Hammill | Pharmacist | 901 Silver Spur Rd, Rolling Hills Estates, CA 90274-3805 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297871 | Hearts Respond | Counselor | 336 Tejon Place, Palos Verdes Estates, CA 90274 | 2020-05-21 |
| 1649781568 | Daniel B Lyman | Acupuncturist | 46-e Peninsula Center Dr., #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1811408735 | Shawna Hagerty Regan | Acupuncturist | 46-e Peninsula Center #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1588188262 | Bassi Psychological Services Inc | Psychologist | 4030 Palos Verdes Dr. N. Suite 106, Rolling Hills Estates, CA 90274 | 2017-08-03 |
| 1144674433 | O.r. Barkhordar Dds Inc | Dentist | 1600 W. Redondo Beach Blvd, Ste 203, Gardena, CA 90274 | 2016-04-22 |
| 1962871657 | Melissa Eichel | Counselor | 12 Pinto Lane, Rolling Hills Estates, CA 90274 | 2015-09-23 |
| 1336414556 | Harold Cozen | Family Medicine | 1600 Cataluna Place, Pacos Verdes Estates, CA 90274 | 2012-03-21 |
| 1780904540 | Byungwoo Kim | Acupuncturist | Peninsula Center. Ste 50 D, Rolling Hills Estates, CA 90274 | 2010-06-03 |
| 1285966135 | Paula R. Horn | Marriage & Family Therapist | 715 Silver Spur Road, Suite #209, Rolling Hills Estates, CA 90274 | 2010-02-03 |
| 1730416884 | Skinner's Pharmacy Inc | Pharmacy | 905 Deep Valeey Drive, Rollong Hills, CA 90274 | 2009-11-11 |
| Find all providers in zip 90274 | ||||
| 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] |
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| 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 | ||||
| City | ROLLING HILLS ESTATES |
| Zip Code | 90274 |
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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.