LONGS DRUG STORES CALIFORNIA LLC


Address: 41 North Main St, Angels Camp, CA 95222
Phone: 2097361840

LONGS DRUG STORES CALIFORNIA LLC (NPI# 1629011937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629011937
Entity Type Organization
Organization Name LONGS DRUG STORES CALIFORNIA LLC
Other Organization Name CVS PHARMACY #09539
Practice Address 41 North Main St
Angels Camp
CA 95222
Mailing Address 1 Cvs Dr
P.o. Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 2097361840
Practice Fax Number 2097361877
Mailing Telephone 4017651500
Mailing Fax Number 4017707108
Enumeration Date 2006-06-14
Last Update Date 2014-12-12
Authorized Official Name SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
Authorized Official Telephone 4017702937
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY49682 CA Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1629011937 05
OTHER ID NUMBER-COMMERCIAL NUMBER 0564129 01
OTHER ID NUMBER 0564129 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #09539 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 41 NORTH MAIN ST
City ANGELS CAMP
State CA
Zip Code 95222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952822264 Michael Allen Zarcone Pharmacist 41 North Main St, Angels Camp, CA 95222 2017-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417505918 Mact Health Board, Inc. Dentist 52 S Main Street, Suite B, Angels Camp, CA 95222 2019-08-28
1447747076 Christina Hauer Physical Therapist 457 S Main Street, Angels Camp, CA 95222 2018-04-19
1760832836 Kelli Marie Karr Physical Therapist 571 Stanislaus Ave, Ste F, Angels Camp, CA 95222 2016-06-20
1932522364 Donald Anthony St. Claire Sr. Internal Medicine 401 Albasio Ct., Angels Camp, CA 95222 2014-01-21
1760538532 Jane S Lucas Marriage & Family Therapist 1311 S. Main St., Suite C, Angels Camp, CA 95222 2007-01-26
1942362488 Nitya Prema Marriage & Family Therapist 1311 South Main St, Angels Camp, CA 95222 2006-12-14
1477596096 Robert Shelby Haymond Ophthalmology 1300 Kurt Dr, Ste 102, Angels Camp, CA 95222 2006-06-13
1710943469 Jeffrey Howard Schwartz Podiatrist 575 Stanislaus St., Suite C, Angels Camp, CA 95222 2006-04-21
1851371520 Chris H. Iwata Optometrist 595 Stanislaus St, Ste C, Angels Camp, CA 95222 2006-01-19
1821089749 Sonora Community Hospital Family Medicine 445 South Main St, Angels Camp, CA 95222 2005-10-31
Find all providers in zip 95222

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1235736737 Scriptdash Inc Pharmacy 2360 Qume Dr, San Jose, CA 95131-1838 2020-10-07
1023615150 Kaiser Foundation Health Plan Inc Pharmacy 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 2020-10-01
1033725478 Happy Med Inc. Pharmacy 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 2020-09-21
1366058794 Joanna Jongae Kim Pharmacy 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 2020-09-21
1114532231 Prime Rx San Gabriel, Inc. Pharmacy 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 2020-09-15
1164034260 Tin Rx At The Tower Inc. Pharmacy 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 2020-08-19
1144831702 Cameron Michael Rehmani Seraji Pharmacy 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 2020-08-16
1881204907 Kaiser Foundation Health Plan Inc Pharmacy 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 2020-08-04
Find all providers with the same taxonomy

Competitor

Search similar providers

City ANGELS CAMP
Zip Code 95222

Improve Information

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Dataset Information

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.

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