LONGS DRUG STORES CALIFORNIA, LLC (NPI# 1346323482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346323482 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA, LLC |
| Other Organization Name | CVS PHARMACY #04291 |
| Practice Address |
12058 Palmdale Rd Adelanto CA 92301 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7602462803 |
| Practice Fax Number | 7602462807 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-08-24 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49524 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1346323482 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5624223 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04291 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821277344 | Longs Drug Stores California, LLC | Pharmacy | 1794 Ashlan Ave, Clovis, CA 93611 | 2007-11-01 |
| 1477732014 | Longs Drug Stores California, LLC | Pharmacy | 6800 N Milburn Ave, Fresno, CA 93722 | 2007-10-31 |
| 1285822932 | Longs Drug Stores California, LLC | Pharmacy | 1496 East Ave, Chico, CA 95926 | 2007-10-09 |
| 1679767800 | Longs Drug Stores California, LLC | Pharmacy | 2100 Columbus Pkwy, Benicia, CA 94510 | 2007-08-30 |
| 1235322009 | Longs Drug Stores California, LLC | Pharmacy | 6490 Clayton Rd, Clayton, CA 94517 | 2007-08-24 |
| 1841483187 | Longs Drug Stores California, LLC | Durable Medical Equipment & Medical Supplies | 3020 Green Valley Rd, Ste B, Cameron Park, CA 95682-7658 | 2007-08-21 |
| 1780876847 | Longs Drug Stores California, LLC | Pharmacy | 1970 Yosemite Pkwy, Merced, CA 95341-5214 | 2007-08-13 |
| 1154511491 | Longs Drug Stores California, LLC | Pharmacy | 3171 Balfour Rd, Brentwood, CA 94513-2962 | 2007-08-01 |
| 1083658421 | Longs Drug Stores California, LLC | Durable Medical Equipment & Medical Supplies | 5019 S Mccarran Blvd, Reno, NV 89502-6545 | 2006-06-15 |
| Street Address |
12058 PALMDALE RD |
| City | ADELANTO |
| State | CA |
| Zip Code | 92301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554684 | Breanna Moore | Pharmacist | 12058 Palmdale Rd, Adelanto, CA 92301-6708 | 2020-10-01 |
| 1790323491 | Berenice Torres Garcia | Pharmacist | 12058 Palmdale Rd, Adelanto, CA 92301-6708 | 2019-12-13 |
| 1649673922 | Paul Johnson Bas Molina | Pharmacist | 12058 Palmdale Rd, Adelanto, CA 92301-6708 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342609 | Brittney's Non Emergency Services Transportation | Non-emergency Medical Transport (VAN) | 15120 Christopher St, Adelanto, CA 92301 | 2017-08-16 |
| 1285870469 | County of San Bernardino | Public Health or Welfare | 11336 Bartlett Ave #11, Adelanto, CA 92301 | 2008-12-18 |
| 1194142273 | Wal-mart Stores, Inc | Technician/Technologist | 12234 Palmdale Rd, Victorville, CA 92301 | 2014-03-26 |
| 1427435148 | Kay Payton | Driver | 17960 Adelanto Rd, Adelanto, CA 92301-1708 | 2015-05-01 |
| 1295112928 | Emmanuel Unique Outreach Partners | Non-emergency Medical Transport (VAN) | 17960 Adelanto Rd, Adelanto, CA 92301-1708 | 2015-05-01 |
| 1649212770 | John D Zipperer Jr. | Internal Medicine | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2006-06-12 |
| 1336646397 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2018-04-06 |
| 1508379017 | Tri-state Community Healthcare Center | Clinic/Center | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2017-11-07 |
| 1235166810 | Yasmin Curameng Robles-gray | Nurse Practitioner | 11888 Bartlett Ave, Adelanto, CA 92301-1709 | 2006-06-27 |
| 1568512176 | Adelanto Esd | Local Education Agency (LEA) | 11824 Air Expy, Adelanto, CA 92301-1730 | 2007-01-12 |
| Find all providers in zip 92301 | ||||
| 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] |
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| 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 | ||||
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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.