LONGS DRUG STORES CALIFORNIA LLC (NPI# 1447292263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447292263 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09149 |
| Practice Address |
6750 N Cedar Ave Fresno CA 93710-4403 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5592993115 |
| Practice Fax Number | 5592981649 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-03-02 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49444 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1447292263 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0569460 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09149 | 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 |
6750 N CEDAR AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447817853 | Ashley Marie Mendoza | Pharmacist | 6750 N Cedar Ave, Fresno, CA 93710-4403 | 2019-05-21 |
| 1972167518 | Francisco Ibarra | Pharmacist | 6750 N Cedar Ave, Fresno, CA 93710-4403 | 2019-04-29 |
| 1831626332 | Lori Hastings | Pharmacist | 6750 N Cedar Ave, Fresno, CA 93710-4403 | 2017-05-15 |
| 1932553781 | Leroy Shapazian | Pharmacist | 6750 N Cedar Ave, Fresno, CA 93710-4403 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1316575467 | Pharmedquest Pharmacy Services | Pharmacy | 2740 S Elm Ave Rm 2, Fresno, CA 93706-5435 | 2020-04-01 |
| 1285151324 | Family First Pharmacy Inc | Pharmacy | 4859 E King Cyn Rd, Fresno, CA 93727-3811 | 2017-08-29 |
| 1427300664 | Chestnut Pharmacy | Pharmacy | 7075 N Chestnut Ave Ste 104, Fresno, CA 93720-0356 | 2012-10-12 |
| 1457600215 | Kan Pharmacy Inc | Pharmacy | 302 E Bullard Ave, Fresno, CA 93710-5299 | 2012-09-07 |
| 1881989564 | Elite Rx Inc | Pharmacy | 2608 E Ashlan Ave, Fresno, CA 93726-3207 | 2011-06-10 |
| 1639253800 | Cynthia H Vu | Pharmacy | 2045 N Fresno St, Fresno, CA 93703-2232 | 2006-10-24 |
| 1891884441 | Big A Drug Stores Inc | Pharmacy | 1233 N Van Ness Ave, Fresno, CA 93728-1935 | 2006-10-12 |
| 1144325556 | Byram Healthcare Centers, Inc | Pharmacy | 3131 S Willow Ave, Ste 103, Fresno, CA 93725-9349 | 2006-09-13 |
| 1427160340 | Peter Kwok-jeff Lum Partnership | Pharmacy | 219 E Olive Ave, Fresno, CA 93728-3129 | 2006-08-31 |
| 1962514885 | Peter Kwok | Pharmacy | 4845 E Butler Ave, Fresno, CA 93727-5015 | 2006-08-31 |
| Find all providers in FRESNO | ||||
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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.