LONGS DRUG STORES CALIFORNIA INC (NPI# 1316980188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316980188 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA INC |
| Other Organization Name | LONGS DRUG STORE |
| Practice Address |
932 W Drake Rd Fort Collins CO 80526-5525 |
| Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 9704905937 |
| Practice Fax Number | 9704906167 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY HALLIDAY (MANAGED CARE ADMINISTRATOR) |
| Authorized Official Telephone | 9252106659 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 4458 | CO | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0617487 | 01 | |
| CO | 88683729 | 05 |
| Other Name | Type Code |
|---|---|
| LONGS DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336399070 | Longs Drug Stores California Inc | Pharmacy | 2464 Wingfield Hills Rd, Sparks, NV 89436 | 2008-09-30 |
| 1447340484 | Longs Drug Stores California Inc | Pharmacy | 18182 Hwy 18 Ste 107, Apple Valley, CA 92307 | 2006-10-13 |
| 1225054000 | Longs Drug Stores California Inc | Pharmacy | 760 Washburn Ave, #2, Corona, CA 92882-3303 | 2006-07-14 |
| 1538103981 | Longs Drug Stores California Inc | Pharmacy | 3920 Lennane Dr, Sacramento, CA 95834-1909 | 2006-06-16 |
| 1356385702 | Longs Drug Stores California Inc | Pharmacy | 4158 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2006-06-16 |
| 1730122094 | Longs Drug Stores California Inc | Pharmacy | 12 N 9th Ave, Yakima, WA 98902-3065 | 2006-06-14 |
| 1649213992 | Longs Drug Stores California Inc | Pharmacy | 3540 W 10th St, Greeley, CO 80634-1824 | 2006-06-14 |
| 1376586636 | Longs Drug Stores California Inc | Pharmacy | 1209 S 320th St, Federal Way, WA 98003-5339 | 2006-06-14 |
| 1467495721 | Longs Drug Stores California Inc | Pharmacy | 15400 Ne 20th St, Bellevue, WA 98007-3834 | 2006-06-14 |
| 1265475594 | Longs Drug Stores California Inc | Pharmacy | 3670 Bel Aire Plz, Napa, CA 94558-2831 | 2006-06-14 |
| Street Address |
932 W DRAKE RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 |
|---|---|---|---|---|
| 1154706554 | Poudre Valley Health Care Inc | Pharmacy | 4630 Snow Mesa Dr, Fort Collins, CO 80528-8508 | 2015-07-27 |
| 1295146512 | Pvh Cancer Center Pharmacy | Pharmacy | 2121 E Harmony Rd Unit 150, Fort Collins, CO 80528-3413 | 2014-05-09 |
| 1306971171 | Poudre Drug Company | Pharmacy | 1221 East Elizabeth, Suite 1, Fort Collins, CO 80524-4066 | 2007-02-22 |
| 1093720336 | Walgreen Co | Pharmacy | 2190 W Drake Rd, Fort Collins, CO 80526-1488 | 2006-07-29 |
| 1871519918 | Hartshorn Health Service Pharmacy | Pharmacy | 151 W Lake St Suite 1100, Colorado State University, Fort Collins, CO 80523-0001 | 2006-07-14 |
| 1932145026 | Dillon Companies LLC | Pharmacy | 2602 S Timberline Rd, Fort Collins, CO 80525 | 2006-06-20 |
| 1134164809 | Dillon Companies LLC | Pharmacy | 4503 John F Kennedy Pkwy, Fort Collins, CO 80525 | 2006-06-18 |
| 1407899271 | Longs Drug Stores California Inc | Pharmacy | 743 S Lemay Ave, Fort Collins, CO 80524-3251 | 2006-06-13 |
| 1225071095 | Longs Drug Stores California Inc | Pharmacy | 1538 E Harmony Rd, Fort Collins, CO 80525-8006 | 2006-06-13 |
| 1386681807 | Albertsons LLC | Pharmacy | 1636 N College Ave, Fort Collins, CO 80524-1219 | 2006-06-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA INC.
| 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.