LONGS DRUG STORES CALIFORNIA LLC (NPI# 1427434620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427434620 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | LONGS DRUGS #10621 |
| Practice Address |
2155 Kalakaua Ave Ste 102 Honolulu HI 96815-2354 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8089228790 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-08-11 |
| 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 |
|---|---|---|---|
| NCPDP | 1241873 | 01 | |
| HI | 793928 | 05 |
| Other Name | Type Code |
|---|---|
| LONGS DRUGS #10621 | 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 |
2155 KALAKAUA AVE STE 102 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160997 | David Hernandez | Nurse Practitioner | 2155 Kalakaua Ave, Honolulu, HI 96815-2351 | 2005-11-04 |
| 1366943136 | Kathy Kaori Morris | Pharmacist | 2155 Kalakaua Ave, Honolulu, HI 96815-2351 | 2018-02-26 |
| 1942747167 | Julie Siegel Weinberger | Nurse Practitioner | 2155 Kalakaua Ave, Honolulu, HI 96815-2351 | 2017-01-25 |
| 1356726723 | Jerelyn Tagap Pedrina-schiessel | Nurse Practitioner | 2155 Kalakaua Ave, Honolulu, HI 96815-2351 | 2015-07-27 |
| 1205175064 | Natalie Mealani Anderson | Registered Nurse | 2155 Kalakaua Ave, Honolulu, HI 96815-2351 | 2013-02-13 |
| 1043470370 | Sung S Yang | Internal Medicine | 2155 Kalakaua Ave, Ste 308, Honolulu, HI 96815-2354 | 2008-06-10 |
| 1497963367 | Minoru Adachi | Clinic/Center | 2155 Kalakaua Ave, Suite 308, Honolulu, HI 96815-2351 | 2007-05-21 |
| 1255437232 | Yasushi John Hori | Family Medicine | 2155 Kalakaua Ave, Suite 308, Honolulu, HI 96815-2351 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| 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 | ||||
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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.