LONGS DRUG STORES CALIFORNIA LLC (NPI# 1194768945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194768945 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09975 |
| Practice Address |
4400 Coffee Rd Bakersfield CA 93308-5032 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6615881060 |
| Practice Fax Number | 6615881856 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-08 |
| 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 |
PHY49459 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1194768945 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0576427 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09975 | 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 |
4400 COFFEE RD |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952881815 | David Le | Pharmacist | 4400 Coffee Rd, Bakersfield, CA 93308-5032 | 2018-08-20 |
| 1194187328 | Premal Patel | Pharmacist | 4400 Coffee Rd, Bakersfield, CA 93308-5032 | 2016-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| 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 |
|---|---|---|---|---|
| 1457972754 | Sg Pharma Inc | Pharmacy | 5555 Business Park S Ste 230, Bakersfield, CA 93309-1678 | 2020-04-28 |
| 1649810235 | Pharmedquest Pharmacy Services | Pharmacy | 2000 Physicians Blvd Rm B, Bakersfield, CA 93301-1277 | 2020-01-10 |
| 1912472226 | Badri Inc | Pharmacy | 2019 21st St Ste B, Bakersfield, CA 93301-4219 | 2018-10-12 |
| 1154824514 | Ingram's Pharmacy, LLC | Pharmacy | 1703 27th St, Bakersfield, CA 93301-2807 | 2018-03-13 |
| 1710427125 | Gurkirpa Medical Inc | Pharmacy | 3400 Panama Ln Ste L, Bakersfield, CA 93313-3699 | 2017-03-03 |
| 1114385796 | Ibrahim M Garas | Pharmacy | 309 N Chester Ave, Bakersfield, CA 93308-4441 | 2016-02-10 |
| 1063713600 | Express Drugs | Pharmacy | 9802 Stockdale Hwy Ste 106b, Bakersfield, CA 93311-3653 | 2010-11-13 |
| 1457538381 | Kern Infusion Services Inc | Pharmacy | 4004 Panama Ln, Ste 100, Bakersfield, CA 93313-3769 | 2008-01-22 |
| 1306998653 | Your Drug Store Inc | Pharmacy | 2303 Niles Pt, Bakersfield, CA 93306-4025 | 2007-01-17 |
| 1164570909 | Kaiser Foundation Health Plan Inc | Pharmacy | 1200 Discovery Dr Ste 250, Bakersfield, CA 93309-7076 | 2007-01-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93308 |
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA LLC.
| 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.