LONGS DRUG STORES CALIFORNIA LLC (NPI# 1255374088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255374088 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09826 |
| Practice Address |
5333 Elkhorn Blvd Sacramento CA 95842-2526 |
| Mailing Address |
One Cvs Drive Box 1075 Woonsocket RI 02895 |
| Practice Telephone | 9163347450 |
| Practice Fax Number | 9163343681 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-13 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49421 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1255374088 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0563432 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09826 | 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 |
5333 ELKHORN BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95842-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285561 | Michael Schmidt | Pharmacist | 5333 Elkhorn Blvd, Sacramento, CA 95842-2526 | 2018-11-28 |
| 1982138053 | Job Keengwe | Pharmacist | 5333 Elkhorn Blvd, Sacramento, CA 95842-2526 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318837 | Eve T Mallillin | Behavioral Analyst | 11670 White Rock Road, Suite 150, Rancho Cordova, CA 95842 | 2018-12-21 |
| 1760928824 | Tami Bumpass | Behavior Technician | 7806 Uplands Way Suite A, Citrus Hts, CA 95842 | 2017-01-13 |
| 1659621373 | Carl D Engelke | Military Health Care Provider | 7484 Holworthy Way, Apt 139, Sacramento, CA 95842 | 2012-09-11 |
| 1396033395 | Erik Kristopher Smith | Physician Assistant | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2011-07-12 |
| 1356437008 | Christopher Phen | Dentist | 5315 Elkhorn Blvd, Sacramento, CA 95842 | 2006-10-04 |
| 1861906455 | Palatnik Smith Health Care Corp | Clinic/Center | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2017-11-20 |
| 1427477975 | Zachariah Edwards | Counselor | 7425 Verdugo Way, Sacramento, CA 95842-1504 | 2014-04-14 |
| 1336454628 | Lela Feliz Evelyn Feliz | Counselor | 5036 Earlcort Cir, Sacramento, CA 95842-1737 | 2010-08-11 |
| 1447769211 | Milton Danilo Guerrero Leon | Behavior Technician | 5215 Karm Way, Sacramento, CA 95842-1951 | 2017-09-25 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| Find all providers in zip 95842 | ||||
| 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 |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1801383443 | Kaiser Foundation Health Plan Inc | Pharmacy | 501 J St Fl 6, Sacramento, CA 95814-2325 | 2018-04-19 |
| 1497259956 | Kaiser Foundation Health Plan Inc | Pharmacy | 501 J St Fl 1, Sacramento, CA 95814-2325 | 2018-03-20 |
| 1366990293 | Corrections and Rehabilitation | Pharmacy | 8364 Rovana Circle, Sacramento, CA 95828-2522 | 2016-09-20 |
| 1962894709 | Star Scripts Inc | Pharmacy | 2087 Arena Blvd Ste 160, Sacramento, CA 95834-2323 | 2015-03-03 |
| 1528484631 | Greenhaven Pharmacy | Pharmacy | 7248 S Land Park Dr Ste 116, Sacramento, CA 95831-3661 | 2014-03-13 |
| 1427396779 | Regents of The University of California | Pharmacy | 4501 X St Rm 1008, Sacramento, CA 95817-2229 | 2013-01-22 |
| 1336487685 | Regents of The University of California | Pharmacy | 4860 Y St Rm 1200, Sacramento, CA 95817-2307 | 2013-01-22 |
| 1013202829 | Vang Pharmacy Inc | Pharmacy | 7260 E Southgate Dr Ste E, Sacramento, CA 95823-2609 | 2011-06-09 |
| 1669762944 | Payless Pharmacy Inc | Pharmacy | 2303 Northgate Blvd, Sacramento, CA 95833-2504 | 2011-04-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95842 |
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.