LONGS DRUG STORES CALIFORNIA LLC (NPI# 1285677039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285677039 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09203 |
| Practice Address |
580 Moraga Rd Moraga CA 94556 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9256310204 |
| Practice Fax Number | 9256310302 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | SUSAN 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 |
PHY49528 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0579790 | 01 | |
| CA | 1285677039 | 05 | |
| OTHER ID NUMBER | 0579790 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09203 | 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 |
580 MORAGA RD |
| City | MORAGA |
| State | CA |
| Zip Code | 94556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558646 | Andrew Mansour | Pharmacist | 580 Moraga Rd, Moraga, CA 94556-2211 | 2020-08-11 |
| 1184288367 | Tiffany Amelia Chairudin | Pharmacist | 580 Moraga Rd, Moraga, CA 94556-2211 | 2019-04-24 |
| 1053886176 | Vy T Nguyen | Pharmacist | 580 Moraga Rd, Moraga, CA 94556-2211 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275994154 | Niousha Saghafi | Dentist | 1016 Country Club Dr Axelrode Orthodontics, Moraga, CA 94556 | 2016-03-18 |
| 1992132120 | Christy Cork Acker | Physical Therapist | 478 Kingsford Drive, Moraga, CA 94556 | 2013-10-02 |
| 1013205301 | Kian Tavallaei | Dentist | 533 Moraga Road Suite 230, Moraga, CA 94556 | 2011-07-20 |
| 1952496077 | Marquis Companies I, Inc | Skilled Nursing Facility | 348 Rheem Blvd, Moraga, CA 94556 | 2006-10-04 |
| 1932123312 | William Larry Strauss | Internal Medicine | 346 Rheem Blvd, Ste 105, Moraga, CA 94556 | 2006-07-27 |
| 1922071661 | William E Schwertscharf | Optometrist | 1030 Country Club Dr, Suite A, Moraga, CA 94556 | 2006-02-13 |
| 1124634472 | Kira Paulin | Specialist/Technologist | 1928 Saint Marys Rd, Moraga, CA 94556 | 2020-09-22 |
| 1780124156 | Esther Wu | Student in an Organized Health Care Education/Training Program | 41 Miramonte Dr, Moraga, CA 94556-1001 | 2017-03-03 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| Find all providers in zip 94556 | ||||
| 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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| 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 | ||||
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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.