LONGS DRUG STORES CALIFORNIA INC (NPI# 1760424576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760424576 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA INC |
| Other Organization Name | LONGS DRUG STORE |
| Practice Address |
2220 Oak Grove Rd Walnut Creek CA 94598-2509 |
| Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 9259352630 |
| Practice Fax Number | 9259353755 |
| 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 | PHY45590 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0563610 | 01 | |
| CA | PHA455900 | 05 | |
| CA | PHA 455900 | 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 |
2220 OAK GROVE RD |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1144384439 | Longs Drug Stores California, Inc. | Pharmacy | 141 N Civic Dr, Walnut Creek, CA 94596-3815 | 2006-12-20 |
| 1134201916 | John Muir At Rossmoor Phcy | Pharmacy | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-10-20 |
| 1063518082 | Clover Pharmacy Inc | Pharmacy | 112 La Casa Via, Ste 100, Walnut Creek, CA 94598-3091 | 2006-09-16 |
| 1164536132 | Asb Pharmacies Inc | Pharmacy | 1844 San Miguel Dr, Ste 105, Walnut Creek, CA 94596-4962 | 2006-08-18 |
| 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 | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.