LONGS DRUG STORES CALIFORNIA LLC (NPI# 1427091289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427091289 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09876 |
| Practice Address |
699 Lewelling Blvd San Leandro CA 94579-1870 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5103510951 |
| Practice Fax Number | 5103514526 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-08 |
| 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 |
PHY49747 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0585806 | 01 | |
| OTHER ID NUMBER | 0585806 | 01 | |
| CA | 1427091289 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09876 | 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 |
699 LEWELLING BLVD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143189 | Loreto R Sicam Jr. | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2005-06-09 |
| 1013492693 | Jing Meng | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2018-09-28 |
| 1447613401 | Tammy Ngan | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-29 |
| 1366803520 | Cindy Bunneat | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1689035792 | Ted Chin | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1336512227 | Ngoc My La | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2015-11-02 |
| 1366643314 | Brian Hung Han Dmd Inc | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-05-29 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1033252150 | Loreto R Sicam Jr Dmd Inc | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579-1870 | 2007-02-15 |
| 1225184237 | Amy M Nguyen | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| 1750626016 | Melanie Tabernero | Occupational Therapist | 14860 Crosby St, San Leandro, CA 94579-1473 | 2012-11-27 |
| 1316336688 | Rachel Holland | Nurse's Aide | 14950 Zelma St Apt 12, San Leandro, CA 94579-1474 | 2015-01-09 |
| Find all providers in zip 94579 | ||||
| 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 |
|---|---|---|---|---|
| 1134583735 | Rockforth Pharmacy | Pharmacy | 14624 E 14th St, San Leandro, CA 94578-2817 | 2016-04-09 |
| 1649657172 | Alameda Pharmacy LLC | Pharmacy | 1555 Doolittle Dr Ste 160, San Leandro, CA 94577-2272 | 2015-05-05 |
| 1417192634 | Walmart Inc. | Pharmacy | 15555 Hesperian Blvd, San Leandro, CA 94579-1801 | 2008-12-03 |
| 1770629388 | Oriental Twin Dragons Ltd | Pharmacy | 215 Estudillo Ave, San Leandro, CA 94577-4721 | 2007-01-30 |
| 1174566343 | Longs Drug Stores California LLC | Pharmacy | 1550 E 14th St, San Leandro, CA 94577-4807 | 2006-06-14 |
| 1578500237 | Lucky Stores II LLC | Pharmacy | 1300 Fairmont Dr, San Leandro, CA 94578-3507 | 2006-06-01 |
| 1609289024 | Kaiser Foundation Health Plan Inc | Pharmacy | 2500 Merced St, 2nd Fl Rm 2966, San Leandro, CA 94577-4201 | 2014-06-03 |
| 1679993190 | Kaiser Foundation Hospitals | Pharmacy | 2500 Merced St, Hospital Bldg, San Leandro, CA 94577-4201 | 2014-04-23 |
| 1669895942 | Kaiser Foundation Health Plan Inc | Pharmacy | 2500 Merced St Fl 1, San Leandro, CA 94577-4201 | 2014-01-22 |
| 1346383056 | Medical Rx Inc | Pharmacy | 13847 E 14th St, Suite 103, San Leandro, CA 94578-2632 | 2007-02-14 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
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.