LONGS DRUG STORES CALIFORNIA, L.L.C. (NPI# 1336181155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336181155 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA, L.L.C. |
| Other Organization Name | CVS PHARMACY #09271 |
| Practice Address |
3619 W Caldwell Ave Visalia CA 93277-7067 |
| Mailing Address |
1 Cvs Dr Box 1075 -pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 5597325971 |
| Practice Fax Number | 5597320844 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | ANTHONY GRATTO (MANGER/PAYER RELATIONS) |
| Authorized Official Telephone | 4017707298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49614 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MASS IMMUNIZATION ROSTER BILLER | FLU11286G | 01 |
| CA | 1336181155 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0504945 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09271 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023338720 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 1130 Kuala St, Pearl City, HI 96782-2959 | 2010-06-03 |
| 1790017648 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 2780 Esplanade, Chico, CA 95973-1115 | 2010-02-03 |
| 1902035140 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 1748 Liliha St, Honolulu, HI 96817-3111 | 2009-07-09 |
| 1083854822 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 291 S. Coombs St, Napa, CA 94559 | 2009-03-05 |
| 1831132166 | Longs Drug Stores California, L.L.C. | Pharmacy | 2085 Fair Oaks Blvd, Sacramento, CA 95825 | 2006-06-14 |
| 1972546760 | Longs Drug Stores California, L.L.C. | Pharmacy | 670 El Cerrito Plz, El Cerrito, CA 94530-4010 | 2006-06-13 |
| 1316989148 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 46 047 Kamehameha Hwy, Kaneohe, HI 96744 | 2006-06-13 |
| 1427218478 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 670 Ponahawai St, #213, Hilo, HI 96720-2660 | 2008-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | LONGS DRUG STORES CALIFORNIA, L.L.C. | Once Cvs Dr, Woonsocket, RI 02895 |
| Oregon Corporations, Companies and Business Names | LONGS DRUG STORES CALIFORNIA, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Colorado Business Entities | Longs Drug Stores California, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Connecticut Business Registrations | LONGS DRUG STORES CALIFORNIA, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
3619 W CALDWELL AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93277-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682178 | Joseph Samuel Martin | Pharmacist | 3619 W Caldwell Ave, Visalia, CA 93277-7067 | 2020-03-02 |
| 1447897541 | James Tri Nguyen | Pharmacist | 3619 W Caldwell Ave, Visalia, CA 93277-7067 | 2019-12-08 |
| 1457915225 | Kraig Sells | Pharmacist | 3619 W Caldwell Ave, Visalia, CA 93277-7067 | 2019-04-27 |
| 1326601139 | Xiaoxi Wang | Pharmacist | 3619 W Caldwell Ave, Visalia, CA 93277-7067 | 2019-04-17 |
| 1265911887 | Jennifer Kenway | Pharmacist | 3619 W Caldwell Ave, Visalia, CA 93277-7067 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1093341307 | Kings Medical Center | Occupational Therapist | 5135 W. Noble Ave, Visalia, CA 93277 | 2020-03-18 |
| 1447728738 | Azucena Alcantar | Behavior Technician | 1730 W. Walnut Avenue, Suite A, Visalia, CA 93277 | 2018-11-05 |
| 1770077620 | Debra Kay Schmitt | Social Worker | 4150 S Demaree St Ste C, Visalia, CA 93277 | 2018-06-14 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1386141497 | Sara Hoehn | Assistant Behavior Analyst | 11535 Rd. 264, Visalia, CA 93277 | 2018-04-06 |
| 1578074035 | Yan Jiang | Nurse Practitioner | 1633 S Court Stress, Visalia, CA 93277 | 2017-10-23 |
| 1407375702 | Tara Perez | Counselor | 6500 S. Mooney Blvd, Visalia, CA 93277 | 2017-09-18 |
| 1780106948 | Brooke Kiyo Norton | Psychologist | 5215 W Noble Ave, Suite A-19, Visalia, CA 93277 | 2017-07-10 |
| Find all providers in zip 93277 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622471 | Lemoore Pharmacy Inc | Pharmacy | 3833 W Caldwell Ave Ste B, Visalia, CA 93277-6420 | 2018-09-14 |
| 1245488246 | Garfield Beach Cvs LLC | Pharmacy | 3308 N Dinuba Blvd, Visalia, CA 93291-8718 | 2008-09-03 |
| 1942396106 | Boyds Pharmacy | Pharmacy | 101 N Akers St, Visalia, CA 93291-5122 | 2006-10-05 |
| 1649259847 | Save Mart Supermarkets | Pharmacy | 5201 W Goshen Ave, Visalia, CA 93291-8619 | 2006-01-16 |
| 1528047867 | Save Mart Supermarkets | Pharmacy | 5203 W Walnut Ave, Visalia, CA 93277-3466 | 2006-01-13 |
| 1619302031 | Family Healthcare Network | Pharmacy | 400 E Oak Ave, Visalia, CA 93291-5034 | 2013-09-04 |
| 1396880274 | Save Mart Supermarkets | Pharmacy | 3615 W Noble Ave, Visalia, CA 93277-1859 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA, L.L.C..
| 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.