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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1629011937 | 05 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 0564129 | 01 | |
OTHER ID NUMBER | 0564129 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #09539 | 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 |
41 NORTH MAIN ST |
City | ANGELS CAMP |
State | CA |
Zip Code | 95222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952822264 | Michael Allen Zarcone | Pharmacist | 41 North Main St, Angels Camp, CA 95222 | 2017-06-28 |
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 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] |
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Find all providers with the same taxonomy |
City | ANGELS CAMP |
Zip Code | 95222 |
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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.