LONGS DRUG STORES CALIFORNIA LLC (NPI# 1417989922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417989922 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09160 |
| Practice Address |
102 N San Gabriel Blvd San Gabriel CA 91775-2427 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6262372054 |
| Practice Fax Number | 6262372058 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-03-05 |
| 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 |
PHY49437 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1417989922 | 05 | |
| CA | NCPDP | 5622837 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09160 | 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 |
102 N SAN GABRIEL BLVD |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91775-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497227482 | Jennifer S Chen | Pharmacist | 102 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2019-01-02 |
| 1871045617 | Ying Zhang | Pharmacist | 102 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043451735 | Shannon H. Lazarian | Dentist | 6269 Charonoak Pl, San Gabriel, CA 91775 | 2009-03-10 |
| 1609077635 | Premier Physician Alliance | Health Maintenance Organization | 30125 West Agoura Road #200, Agoura Hills, CA 91775 | 2007-05-29 |
| 1851463178 | Robert S.y. Cheng | Obstetrics & Gynecology | 209 N Delmar Ave, San Gabriel, CA 91775 | 2006-11-14 |
| 1225428394 | Raymond Juarez Jr. | Behavioral Analyst | 9060 Huntington Dr, San Gabriel, CA 91775 | 2015-01-28 |
| 1467085688 | Jessica Kuo | Student in an Organized Health Care Education/Training Program | 6909 Ferncroft Ave, San Gabriel, CA 91775-1001 | 2020-02-17 |
| 1821407370 | Jennifer Chuang | Acupuncturist | 6948 Ferncroft Ave, San Gabriel, CA 91775-1002 | 2014-08-08 |
| 1801999255 | Joseph Y Wu | Internal Medicine | 6714 Provence Road, San Gabriel, CA 91775-1030 | 2006-09-07 |
| 1881849362 | A.l. U.S./san Gabriel Senior Housing, L.p. | Assisted Living Facility | 8332 Huntington Dr, San Gabriel, CA 91775-1038 | 2008-11-25 |
| 1285710806 | Luanne E Cabrera | Psychologist | 8346 Duarte Rd, San Gabriel, CA 91775-1048 | 2006-10-27 |
| 1912119470 | Toni Chen | Dentist | 8204 Huntington Dr, Suite B, San Gabriel, CA 91775-1053 | 2007-05-04 |
| Find all providers in zip 91775 | ||||
| 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 |
|---|---|---|---|---|
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1508316845 | Alpha Medical Pharmacy | Pharmacy | 1418 S San Gabriel Blvd Ste A, San Gabriel, CA 91776-4605 | 2016-10-11 |
| 1588058382 | Viewpoint Pharmacy | Pharmacy | 209 W Las Tunas Dr, San Gabriel, CA 91776-1332 | 2015-03-19 |
| 1689925588 | Maluk Enterprising Corporation | Pharmacy | 123 E Valley Blvd, #105, San Gabriel, CA 91776-3599 | 2012-10-02 |
| 1578871406 | Alpha Medical Pharmacy II | Pharmacy | 1418 S. San Gabriel Blvd., #a, San Gabriel, CA 91776 | 2010-09-14 |
| 1538271523 | Medicine Shoppe | Pharmacy | 702 S Del Mar Ave, San Gabriel, CA 91776-2440 | 2006-08-31 |
| 1972584118 | Reina Sy | Pharmacy | 7220 Rosemead Blvd, Ste 202-7, San Gabriel, CA 91775-1377 | 2005-11-07 |
| 1083603476 | Ntt Corporation | Pharmacy | 600 E Valley Blvd, #g, San Gabriel, CA 91776-3673 | 2005-10-18 |
| 1679761910 | Ahmc San Gabriel Valley Medical Center, Lp | Pharmacy | 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | 2007-10-11 |
| 1114093879 | Top United Pharmacy Services | Pharmacy | 1730 S San Gabriel Blvd, Ste A, San Gabriel, CA 91776-3928 | 2006-11-27 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91775 |
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.