LONGS DRUG STORES CALIFORNIA LLC (NPI# 1083658413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083658413 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09900 |
| Practice Address |
2690 Mount Vernon Ave Bakersfield CA 93306-2923 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6618723821 |
| Practice Fax Number | 6618729940 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017702937 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-03-08 |
| 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 |
PHY49671 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0590061 | 01 | |
| CA | 1083658413 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09900 | 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 |
2690 MOUNT VERNON AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184287922 | Serena Yeseul Kim | Pharmacist | 2690 Mount Vernon Ave, Bakersfield, CA 93306-2923 | 2019-04-17 |
| 1871156976 | Cuu Quoc Nguyen | Pharmacist | 2690 Mount Vernon Ave, Bakersfield, CA 93306-2923 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| 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 |
|---|---|---|---|---|
| 1457972754 | Sg Pharma Inc | Pharmacy | 5555 Business Park S Ste 230, Bakersfield, CA 93309-1678 | 2020-04-28 |
| 1649810235 | Pharmedquest Pharmacy Services | Pharmacy | 2000 Physicians Blvd Rm B, Bakersfield, CA 93301-1277 | 2020-01-10 |
| 1912472226 | Badri Inc | Pharmacy | 2019 21st St Ste B, Bakersfield, CA 93301-4219 | 2018-10-12 |
| 1154824514 | Ingram's Pharmacy, LLC | Pharmacy | 1703 27th St, Bakersfield, CA 93301-2807 | 2018-03-13 |
| 1710427125 | Gurkirpa Medical Inc | Pharmacy | 3400 Panama Ln Ste L, Bakersfield, CA 93313-3699 | 2017-03-03 |
| 1114385796 | Ibrahim M Garas | Pharmacy | 309 N Chester Ave, Bakersfield, CA 93308-4441 | 2016-02-10 |
| 1063713600 | Express Drugs | Pharmacy | 9802 Stockdale Hwy Ste 106b, Bakersfield, CA 93311-3653 | 2010-11-13 |
| 1457538381 | Kern Infusion Services Inc | Pharmacy | 4004 Panama Ln, Ste 100, Bakersfield, CA 93313-3769 | 2008-01-22 |
| 1306998653 | Your Drug Store Inc | Pharmacy | 2303 Niles Pt, Bakersfield, CA 93306-4025 | 2007-01-17 |
| 1164570909 | Kaiser Foundation Health Plan Inc | Pharmacy | 1200 Discovery Dr Ste 250, Bakersfield, CA 93309-7076 | 2007-01-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA LLC.
| 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.