LONGS DRUG STORES CALIFORNIA LLC (NPI# 1588607337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588607337 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09167 |
| Practice Address |
790 Jamacha Rd El Cajon CA 92019-3201 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 6194429439 |
| Practice Fax Number | 6194426738 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-08-23 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49338 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1588607337 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0572277 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09167 | 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 |
790 JAMACHA RD |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785066 | Brad Solander | Pharmacist | 790 Jamacha Rd, El Cajon, CA 92019-3201 | 2018-10-05 |
| 1942665609 | Anup Patel | Pharmacist | 790 Jamacha Rd, El Cajon, CA 92019-3201 | 2015-12-23 |
| 1124493242 | Didi Duong | Pharmacist | 790 Jamacha Rd, El Cajon, CA 92019-3201 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578774 | La Maestra Family Clinic, Inc. | Pharmacy | 165 S 1st St Ste 1b, El Cajon, CA 92019-4795 | 2017-06-19 |
| 1487949319 | Entag Inc | Pharmacy | 1685 E Main St Ste 103, El Cajon, CA 92021-5225 | 2011-06-20 |
| 1063527216 | Pjn Pharmacies Inc | Pharmacy | 455 N Magnolia Ave, El Cajon, CA 92020-3606 | 2006-08-20 |
| 1558390732 | Danmat Corporation | Pharmacy | 505 N Mollison Ave # 101, El Cajon, CA 92021-6159 | 2006-07-01 |
| 1912942913 | Garfield Beach Cvs LLC | Pharmacy | 426 E Chase Ave, El Cajon, CA 92020-6409 | 2006-06-17 |
| 1467496737 | Garfield Beach Cvs LLC | Pharmacy | 2760 Fletcher Pkwy, El Cajon, CA 92020-2110 | 2006-06-16 |
| 1821619271 | Dib Pharmaceutical Inc | Pharmacy | 528 E Main St, El Cajon, CA 92020-4008 | 2020-04-27 |
| 1497393540 | Family Pharmacy Center Inc. | Pharmacy | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2019-12-19 |
| 1619343357 | Talami International Inc | Pharmacy | 505 N Mollison Ave, Suite 102, El Cajon, CA 92021-6159 | 2015-08-17 |
| 1083786867 | Entag Inc | Pharmacy | 1685 E Main St, Ste 101, El Cajon, CA 92021-5225 | 2006-11-15 |
| Find all providers in EL CAJON | ||||
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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.