LONGS DRUG STORES CALIFORNIA, INC. (NPI# 1144384439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144384439 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA, INC. |
| Practice Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 9252106660 |
| Practice Fax Number | 9252106222 |
| Mailing Telephone | 9252106660 |
| Mailing Fax Number | 9252106222 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA M CUETO (DIRECTOR, MANAGED CARE OPERATIONS) |
| Authorized Official Telephone | 9252106660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568662336 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 2220 S King St, Honolulu, HI 96826-2326 | 2007-07-20 |
| 1750581526 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 4-831 Kuhio Hwy, Ste 500, Kapaa, HI 96746-1579 | 2007-07-20 |
| 1922208792 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 94-780 Meheula Pkwy, A, Mililani, HI 96789-2100 | 2007-07-20 |
| 1194925826 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 16-586 Old Volcano Rd, Keaau, HI 96749-8115 | 2007-07-20 |
| 1669672432 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 45-480 Kaneohe Bay Dr, Kaneohe, HI 96744-2039 | 2007-07-20 |
| 1063612919 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 75-5595 Palani Rd, Kailua Kona, HI 96740-1663 | 2007-07-19 |
| 1326248485 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 91-590 Farrington Hwy, #300, Kapolei, HI 96707-2009 | 2007-07-18 |
| 1437358926 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 94-060 Farrington Hwy, Waipahu, HI 96797-1840 | 2007-07-13 |
| 1942407051 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 46-047 Kamehameha Hwy, Kaneohe, HI 96744-3736 | 2007-07-02 |
| 1407056146 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 30 Aulike St, #104, Kailua, HI 96734-2707 | 2007-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LONGS DRUG STORES CALIFORNIA, INC. | 141 N Civic Dr, Walnut Creek, CA 94596 |
| Indiana Business Entities | LONGS DRUG STORES CALIFORNIA, INC. | C/o Ct Corporation System, 49 Stevenson St. Suite 900, San Francisco, CA 94105 |
| Indiana Business Entities | LONGS DRUG STORES CALIFORNIA, INC.. | 141 North Civic Dr., Walnut Creek, CA 94596 |
| Street Address |
141 N CIVIC DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383095 | Carl Gilbert Britto | Pharmacist | 141 N Civic Dr, Walnut Creek, CA 94596-3815 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1760424576 | Longs Drug Stores California Inc | Pharmacy | 2220 Oak Grove Rd, Walnut Creek, CA 94598-2509 | 2006-06-13 |
| 1134201916 | John Muir At Rossmoor Phcy | Pharmacy | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-10-20 |
| 1063518082 | Clover Pharmacy Inc | Pharmacy | 112 La Casa Via, Ste 100, Walnut Creek, CA 94598-3091 | 2006-09-16 |
| 1164536132 | Asb Pharmacies Inc | Pharmacy | 1844 San Miguel Dr, Ste 105, Walnut Creek, CA 94596-4962 | 2006-08-18 |
| 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 | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.