LONGS DRUG STORES CALIFORNIA LLC (NPI# 1083657258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083657258 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09670 |
| Practice Address |
18441 Ventura Blvd Tarzana CA 91356-4201 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8189961000 |
| Practice Fax Number | 8183429032 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49319 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0514528 | 01 | |
| CA | 1083657258 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09670 | 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 |
18441 VENTURA BLVD |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390700 | Haley Balazadeh | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2020-03-08 |
| 1649804212 | Ryan N/a Kavoosi | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2020-02-23 |
| 1578048468 | Annie Situ | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2018-09-26 |
| 1033696398 | Jessica L Goeters | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2018-07-19 |
| 1104338433 | Ted Lee | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-10-26 |
| 1528570975 | Chi Young Lee | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-10-25 |
| 1831611995 | Yann May Pham | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-07-11 |
| 1649791435 | Ksenia Artemenko | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-06-30 |
| 1083135032 | Salomeh Harandi | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-06-29 |
| 1366978744 | Fe De Castro | Pharmacist | 18441 Ventura Blvd, Tarzana, CA 91356-4201 | 2017-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1427610633 | Rx Boutique Pharmacy Inc | Pharmacy | 18425 Burbank Blvd Ste 414, Tarzana, CA 91356-2810 | 2019-07-08 |
| 1548301278 | Care Plus Pharmacy Inc | Pharmacy | 19015 Ventura Blvd, Tarzana, CA 91356-3213 | 2007-02-08 |
| 1295812162 | Medrx Inc | Pharmacy | 18356 Oxnard St, Ste 1, Tarzana, CA 91356-1555 | 2006-10-31 |
| 1962584748 | Sjs Rx | Pharmacy | 18411 Clark St Ste 106, Tarzana, CA 91356-3529 | 2006-10-20 |
| 1275620460 | 4 Life Rx Inc | Pharmacy | 19554 Ventura Blvd, Tarzana, CA 91356-2917 | 2006-10-07 |
| 1194280834 | Medrx Associates Inc | Pharmacy | 18356 Oxnard St Ste 1, Tarzana, CA 91356-6706 | 2019-02-06 |
| 1013369842 | Allegiance Healthcare Group Inc | Pharmacy | 18455 Burbank Blvd, Ste 311, Tarzana, CA 91356-2803 | 2016-07-05 |
| 1285978650 | Joel Flores | Pharmacy | 18568 Ventura Blvd, Tarzana, CA 91356-4146 | 2012-11-24 |
| 1679616346 | S M Pharmaceutical Inc | Pharmacy | 19100 Ventura Blvd, Ste L, Tarzana, CA 91356-3239 | 2007-02-14 |
| 1083768352 | Wilbur Family Pharmacy | Pharmacy | 5620 Wilbur Ave, 100, Tarzana, CA 91356-1351 | 2007-01-23 |
| Find all providers in TARZANA | ||||
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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.