LONGS DRUG STORES CALIFORNIA, LLC (NPI# 1477732014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477732014 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA, LLC |
| Other Organization Name | CVS PHARMACY #09846 |
| Practice Address |
6800 N Milburn Ave Fresno CA 93722 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5594513486 |
| Practice Fax Number | 5592619975 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-10-31 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49427 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1477732014 | 05 | |
| CA | NCPDP | 5628613 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09846 | 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 |
| 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 |
| 1346323482 | Longs Drug Stores California, LLC | Durable Medical Equipment & Medical Supplies | 12058 Palmdale Rd, Adelanto, CA 92301 | 2006-10-23 |
| 1083658421 | Longs Drug Stores California, LLC | Durable Medical Equipment & Medical Supplies | 5019 S Mccarran Blvd, Reno, NV 89502-6545 | 2006-06-15 |
| Street Address |
6800 N MILBURN AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188652 | Quan Le | Pharmacist | 6800 N Milburn Ave, Fresno, CA 93722-2155 | 2020-06-14 |
| 1023656154 | Shaun Ray Masters | Pharmacist | 6800 N Milburn Ave, Fresno, CA 93722-2155 | 2019-12-19 |
| 1598116188 | Eric Saunders | Pharmacist | 6800 N Milburn Ave, Fresno, CA 93722-2155 | 2016-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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.