LONGS DRUG STORES CALIFORNIA INC (NPI# 1750324505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750324505 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA INC |
| Other Organization Name | LONGS DRUG STORE |
| Practice Address |
10861 Weyburn Ave Los Angeles CA 90024-2909 |
| Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 3102091652 |
| Practice Fax Number | 3102091562 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY HALLIDAY (MANAGED CARE ADMINISTRATOR) |
| Authorized Official Telephone | 9252106659 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHY45858 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0574598 | 01 | |
| CA | PHA 458580 | 05 | |
| CA | PHA458580 | 05 |
| Other Name | Type Code |
|---|---|
| LONGS DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336399070 | Longs Drug Stores California Inc | Pharmacy | 2464 Wingfield Hills Rd, Sparks, NV 89436 | 2008-09-30 |
| 1447340484 | Longs Drug Stores California Inc | Pharmacy | 18182 Hwy 18 Ste 107, Apple Valley, CA 92307 | 2006-10-13 |
| 1225054000 | Longs Drug Stores California Inc | Pharmacy | 760 Washburn Ave, #2, Corona, CA 92882-3303 | 2006-07-14 |
| 1538103981 | Longs Drug Stores California Inc | Pharmacy | 3920 Lennane Dr, Sacramento, CA 95834-1909 | 2006-06-16 |
| 1356385702 | Longs Drug Stores California Inc | Pharmacy | 4158 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2006-06-16 |
| 1730122094 | Longs Drug Stores California Inc | Pharmacy | 12 N 9th Ave, Yakima, WA 98902-3065 | 2006-06-14 |
| 1649213992 | Longs Drug Stores California Inc | Pharmacy | 3540 W 10th St, Greeley, CO 80634-1824 | 2006-06-14 |
| 1376586636 | Longs Drug Stores California Inc | Pharmacy | 1209 S 320th St, Federal Way, WA 98003-5339 | 2006-06-14 |
| 1467495721 | Longs Drug Stores California Inc | Pharmacy | 15400 Ne 20th St, Bellevue, WA 98007-3834 | 2006-06-14 |
| 1265475594 | Longs Drug Stores California Inc | Pharmacy | 3670 Bel Aire Plz, Napa, CA 94558-2831 | 2006-06-14 |
| Street Address |
10861 WEYBURN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427420124 | Hien Lam | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-10-21 |
| 1346621687 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-06-12 |
| 1902290984 | Darlene Muldrow | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-03-26 |
| 1154715563 | Calvin Lai | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-03-24 |
| 1174917801 | Albert Joseph Pellicano | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-03-19 |
| 1770976383 | Morad Hajaliloo | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2015-03-07 |
| 1679989362 | Howard W Fong | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2014-07-02 |
| 1417371105 | Emily Delkhah | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024 | 2014-02-14 |
| 1881038545 | David Yashar | Pharmacist | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2013-04-24 |
| 1366467961 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 10861 Weyburn Ave, Los Angeles, CA 90024-2957 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| 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 |
|---|---|---|---|---|
| 1942820485 | Kaiser Foundation Health Plan Inc | Pharmacy | 5300 Mcconnell Ave Fl 1, Rm 1150, Los Angeles, CA 90066-7026 | 2020-04-24 |
| 1164042453 | Clover Care Pharmacy Inc | Pharmacy | 266 S Harvard Blvd Ste 140, Los Angeles, CA 90004-4389 | 2020-04-16 |
| 1831724244 | Pharmedquest Pharmacy Services | Pharmacy | 325 E. 7th Street, Room 101, Los Angeles, CA 90014-9001 | 2020-03-05 |
| 1568004083 | Ema Healthcare, Inc | Pharmacy | 447a E El Segundo Blvd, Los Angeles, CA 90061-2741 | 2019-10-16 |
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1538710025 | Pharmedquest Pharmacy Services | Pharmacy | 954 N Vermont Ave # 132, Los Angeles, CA 90029-3529 | 2019-09-25 |
| 1033604178 | Emily Wong | Pharmacy | 640 N Broadway Ste 3, Los Angeles, CA 90012-2815 | 2018-06-29 |
| 1447700737 | T & T Care, Inc | Pharmacy | 2015 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2016-10-11 |
| 1851847982 | South Central Family Health Center | Pharmacy | 1109 E Vernon Ave, Los Angeles, CA 90011-3718 | 2016-08-29 |
| 1497109318 | Anita Ashoori | Pharmacy | 1520 Camden Ave, Los Angeles, CA 90025-3463 | 2016-04-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA INC.
| 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.