LONGS DRUG STORES CALIFORNIA LLC (NPI# 1154707537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154707537 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | LONGS DRUGS #10474 |
| Practice Address |
2829 Ala Kalani Kaumaka St Ste M-167 Koloa HI 96756-8571 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8087420350 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-12-02 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 793902 | 05 | |
| NCPDP | 1241861 | 01 |
| Other Name | Type Code |
|---|---|
| LONGS DRUGS #10474 | 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 |
| 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 |
| 1669775110 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4028 Lone Tree Way, Antioch, CA 94531-6209 | 2010-12-06 |
| Street Address |
2829 ALA KALANI KAUMAKA ST STE M-167 |
| City | KOLOA |
| State | HI |
| Zip Code | 96756-8571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005712 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikaumaka St, Ste B-201, Koloa, HI 96756 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| 1285054965 | Leia Makaneole | Massage Therapist | 2555a Ala Kinoiki Rd., Koloa, HI 96756 | 2014-04-22 |
| 1043549637 | Shanti Kay Manzano | Psychologist | 5476 Koloa Road, 2f, Koloa, HI 96756 | 2009-12-10 |
| 1467627075 | Margaret Bubon Smith | Counselor | 4055 Aka Rd, Koloa, HI 96756 | 2008-04-24 |
| 1376755330 | Holly Marie Poag | Emergency Medicine | 2829 Ala Kalanikaumaka St., Ste.b201, Koloa, HI 96756 | 2007-05-04 |
| 1871611558 | Kauai Medical Clinic | Durable Medical Equipment & Medical Supplies | Kauai Medical Clinic - Koloa Clinic, 5371 Koloa Rd, Koloa, HI 96756 | 2007-03-27 |
| 1548330657 | Joseph M. Murray | Family Medicine | 5371 Koloa Rd, Koloa, HI 96756 | 2006-11-08 |
| 1164413696 | Daniel S Choi | Anesthesiology | 3176 Poipu Rd, Koloa, HI 96756 | 2005-11-03 |
| 1801980339 | Edward Franklin De Deo | Chiropractor | 5470 Koloa Rd 2d, Koloa, HI 96756-0388 | 2006-10-02 |
| Find all providers in zip 96756 | ||||
| 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 |
|---|---|---|---|---|
| 1215217401 | Iaomai 4 LLC | Pharmacy | 5330 Koloa Rd Ste 2, Koloa, HI 96756-8624 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1467070151 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 89-102 Farrington Hwy Ste 3000, Waianae, HI 96792-4101 | 2020-07-08 |
| 1831745595 | 5 Minute Pharmacy Pearl City LLC | Pharmacy | 98-1247 Kaahumanu St Ste 220, Aiea, HI 96701-5310 | 2019-08-16 |
| 1881160901 | Hawaii-rx LLC | Pharmacy | 1150 S King St Ste 1105, Honolulu, HI 96814-1954 | 2018-10-16 |
| 1205381803 | Pahoa Pharmacy LLC | Pharmacy | 15-2660 Pahoa Village Rd, Pahoa, HI 96778-6720 | 2016-08-24 |
| 1396197182 | Brian A Carter Inc | Pharmacy | 1-3845 Kaumualii Highway, Suite B, Hanapepe, HI 96716-0526 | 2016-07-06 |
| 1992160592 | 5 Minute Pharmacy Kkv LLC | Pharmacy | 2229 N School St Ste 101, Honolulu, HI 96819-2588 | 2015-12-23 |
| 1881068377 | Kaiser Foundation Health Plan Inc | Pharmacy | 4366 Kukui Grove St Ste 101, Kaiser Lihue Pharmacy, Lihue, HI 96766-2006 | 2015-11-20 |
| 1104294297 | Brian A Carter Inc | Pharmacy | 2436 Kaumualii Highway, Kalaheo, HI 96741 | 2015-09-08 |
| 1013305457 | Medipharm Pharmacy LLC | Pharmacy | 891 Ululani St Ste 113, Hilo, HI 96720-3982 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.