LONGS DRUG STORES CALIFORNIA INC (NPI# 1912097957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912097957 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA INC |
| Other Organization Name | LONGS DRUG STORE NETWORK PHARMACY |
| Practice Address |
12276 Hesperia Rd Victorville CA 92395-5838 |
| Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 7609628007 |
| Practice Fax Number | 7609628011 |
| Enumeration Date | 2006-10-13 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47581 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA475810 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5622180 | 01 |
| Other Name | Type Code |
|---|---|
| LONGS DRUG STORE NETWORK PHARMACY | 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 |
12276 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574594 | Riverside Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Ste 6, Victorville, CA 92395-5838 | 2005-08-02 |
| 1831200963 | Sumitha Rajkumar | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-08-31 |
| 1023027620 | Longs Drug Store #733/network Pharmacy | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92392 | 2006-08-05 |
| 1992723555 | Renaissance Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-07-18 |
| 1811949548 | Desert Valley Medical Group, Inc. | Family Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-17 |
| 1124077698 | Venkamma Reddy | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| 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 |
|---|---|---|---|---|
| 1841842945 | Unicare Health Inc | Pharmacy | 12401 Hesperia Rd Ste 3, Victorville, CA 92395-5844 | 2019-07-10 |
| 1174990030 | Vista Care Pharmacy Inc | Pharmacy | 12351 Mariposa Rd # 11, Victorville, CA 92395-6013 | 2015-08-26 |
| 1861888265 | Greentree Discount Pharmacy, Inc | Pharmacy | 12998 Hesperia Rd Ste 102, Victorville, CA 92395-8317 | 2015-04-13 |
| 1720328453 | Tilton Nguyen Pharmaceutical Inc | Pharmacy | 15433 W Sand St Ste 102, Victorville, CA 92392-2903 | 2013-02-16 |
| 1922049840 | Garfield Beach Cvs LLC | Pharmacy | 13650 Bear Valley Rd, Victorville, CA 92392-8827 | 2006-06-10 |
| 1801879291 | Asr Health Inc. | Pharmacy | 12677 Hesperia Road, Suite 180, Victorville, CA 92395 | 2005-11-21 |
| 1881019156 | Walmart Inc. | Pharmacy | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2014-02-24 |
| 1720360852 | Walgreens | Pharmacy | 13655 Bear Valley Rd, Victorville, CA 92392-8521 | 2011-09-14 |
| 1912237108 | A-dr Reddy Pharmacy | Pharmacy | 12998 Hesperia Rd, Ste 102, Victorville, CA 92395-8316 | 2010-01-11 |
| 1023027620 | Longs Drug Store #733/network Pharmacy | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92392 | 2006-08-05 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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.