LONGS DRUG STORES CALIFORNIA LLC (NPI# 1447293279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293279 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09535 |
| Practice Address |
63 Lincoln Blvd Lincoln CA 95648-9389 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9164080230 |
| Practice Fax Number | 9164080248 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-12-12 |
| 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 |
PHY49760 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0561111 | 01 | |
| MEDICARE - RR PIN | P00959574 | 01 | |
| CA | 1447293279 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09535 | 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 |
63 LINCOLN BLVD |
| City | LINCOLN |
| State | CA |
| Zip Code | 95648-9389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497319180 | Jenna Kopp | Pharmacist | 63 Lincoln Blvd, Lincoln, CA 95648-9389 | 2019-04-28 |
| 1154850782 | Colin Christopher Dewald | Pharmacist | 63 Lincoln Blvd, Lincoln, CA 95648 | 2017-06-07 |
| 1316310246 | Lara Obeid | Pharmacist | 63 Lincoln Blvd, Lincoln, CA 95648-9389 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125460 | Mary Anne Leavell | Technician | 2010 Hwy. 193, Lincoln, CA 95648 | 2019-10-14 |
| 1184144487 | Nicolas Sean Losenicky | Non-emergency Medical Transport (VAN) | 818 Equinox Loop, Lincoln, CA 95648 | 2017-06-27 |
| 1437587946 | Sakura Moua | Pharmacist | 950 Groveland Lane, Target Pharmacy, Lincoln, CA 95648 | 2013-10-18 |
| 1154698132 | Donald R Myers | Pharmacist | 405 South Highway 65, Lincoln, CA 95648 | 2011-11-19 |
| 1568757110 | Bryan Lee | Dentist | 1510 Del Webb Blvd Ste B106, Lincoln, CA 95648 | 2011-06-11 |
| 1881901437 | Irene Bailon Hermo | Dentist | 831 Sterling Parkway Suite 130, Lincoln, CA 95648 | 2010-09-02 |
| 1851424501 | Maria Eloisa B Espiritu | Dentist | 2295 Fieldstone Drive, Suite 240, Lincoln, CA 95648 | 2007-03-13 |
| 1184752966 | Eireann Elizabeth Smith | Marriage & Family Therapist | 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 | 2007-03-01 |
| 1407982697 | Lincoln Internal Medicine, A Medical Corp. | Internal Medicine | 801 Sterling Parkway #120, Suite D, Lincoln, CA 95648 | 2007-02-24 |
| 1073656518 | Paul Ernest Denzler | Dentist | 588 First St., Lincoln, CA 95648 | 2007-02-15 |
| Find all providers in zip 95648 | ||||
| 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 |
|---|---|---|---|---|
| 1629543665 | Sakrx, LLC | Pharmacy | 808 N 27th St, Lincoln, NE 68503-2523 | 2018-10-05 |
| 1487165452 | B&r Stores Inc | Pharmacy | 5460 S 56th St, Lincoln, NE 68516-1879 | 2017-10-18 |
| 1639527674 | Lincoln Pharmacy Inc | Pharmacy | 831 Sterling Pkwy # 120, Lincoln, CA 95648-8691 | 2016-06-01 |
| 1295073708 | B&r Stores, Inc. | Pharmacy | 840 Fallbrook Blvd, Lincoln, NE 68521-6648 | 2013-01-18 |
| 1467746768 | Nebraska Ltc Pharmacy | Pharmacy | 4300 S 48th St Ste 5, Lincoln, NE 68516-1279 | 2011-06-03 |
| 1538348842 | Extendcare The Pharmacy Inc | Pharmacy | 1219 N Cotner Blvd, Lincoln, NE 68505-1837 | 2007-11-02 |
| 1033303177 | Twelve Bridges Pharmacy, Inc. | Pharmacy | 835 Twelve Bridges Drive, Suite 82, Lincoln, CA 95648-8817 | 2007-08-31 |
| 1801919105 | Schmit Pharmacy Inc | Pharmacy | 3811 S 27th St, Lincoln, NE 68502-5713 | 2007-04-09 |
| 1003942400 | Havelock Neighborhood Pharmacy | Pharmacy | 5844 Fremont St, Lincoln, NE 68507-1661 | 2007-02-27 |
| 1588714893 | Pine Street Pharmacies | Pharmacy | 709 Woodlawn Rd, Lincoln, IL 62656-1445 | 2007-01-11 |
| Find all providers in LINCOLN | ||||
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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.