LONGS DRUG STORES CALIFORNIA L.L.C. (NPI# 1104342435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104342435 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA L.L.C. |
| Other Organization Name | LONGS DRUGS #17720 |
| Practice Address |
1450 Ala Moana Blvd Ste 2401 Honolulu HI 96814-4604 |
| Mailing Address |
One Cvs Dr. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8089561331 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1242104 | 01 |
| Other Name | Type Code |
|---|---|
| Longs Drugs #17720 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881848703 | Longs Drug Stores California L.L.C. | Durable Medical Equipment & Medical Supplies | 1481 S King St, Suite 111, Honolulu, HI 96814-2697 | 2008-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LONGS DRUG STORES CALIFORNIA L.L.C. | One Cvs Drive, Woonsocket, Rhode Island 02895 |
| Street Address |
1450 ALA MOANA BLVD STE 2401 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326545526 | Lissa Oshiro | Pharmacist | 1450 Ala Moana Blvd Ste 2401, Honolulu, HI 96814-4665 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| 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 |
|---|---|---|---|---|
| 1881160901 | Hawaii-rx LLC | Pharmacy | 1150 S King St Ste 1105, Honolulu, HI 96814-1954 | 2018-10-16 |
| 1992160592 | 5 Minute Pharmacy Kkv LLC | Pharmacy | 2229 N School St Ste 101, Honolulu, HI 96819-2588 | 2015-12-23 |
| 1356776751 | Honolulu Pharmacy Inc | Pharmacy | 1188 Bishop St Ste 2303, Honolulu, HI 96813-3309 | 2013-09-05 |
| 1164782611 | R Weinstein Immunization & Prescription Services LLC | Pharmacy | 846 Pohukaina St # F, Honolulu, HI 96813-5300 | 2012-05-17 |
| 1073882387 | Central Fill Pharmacy | Pharmacy | 3375 Koapaka St Ste F245, Honolulu, HI 96819-1881 | 2011-12-16 |
| 1083903264 | Wellness Pharmacy Store 2 Inc | Pharmacy | 1120 Maunakea St Ste 102, Honolulu, HI 96817-5173 | 2011-03-29 |
| 1780982686 | Good Health Pharmacy, LLC | Pharmacy | 1120 Maunakea St Ste 173, Honolulu, HI 96817-5198 | 2011-03-02 |
| 1285931337 | Pharmal LLC | Pharmacy | 1188 Bishop St Ste 1001, Honolulu, HI 96813-3304 | 2011-02-24 |
| 1508097494 | Dth2 Investment, LLC | Pharmacy | 2875 Koapaka St Ste A, Honolulu, HI 96819-1987 | 2009-07-27 |
| 1104962463 | Outrigger Shops Ltd | Pharmacy | 2330 Kuhio Ave, Honolulu, HI 96815-2951 | 2007-01-30 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on LONGS DRUG STORES CALIFORNIA L.L.C..
| 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.