LONGS DRUG STORES CALIFORNIA LLC (NPI# 1538102868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538102868 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | CVS PHARMACY #09147 |
| Practice Address |
2605 W March Ln Stockton CA 95207-6522 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2099523494 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-03-05 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49448 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1538102868 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0569080 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #09147 | 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 |
2605 W MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124640388 | Brandon Chung Dong | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2020-05-11 |
| 1790310522 | Kevin Le | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2020-03-12 |
| 1952940579 | Harsukhjeet Singh Atwal | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2019-12-30 |
| 1720638281 | Quan Anh Nguyen | Pharmacist | 2605 W March Ln, Stockton, CA 95207 | 2019-09-17 |
| 1093374472 | Chao Chang Vang | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2019-06-10 |
| 1881252070 | Thanh Thanh Hoang | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2019-06-03 |
| 1225524705 | Folarin S Smith | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2018-07-08 |
| 1932649779 | Cvs Aoc Services, L.L.C. | Audiologist | 2605 W March Ln, Stockton, CA 95207-6522 | 2017-02-27 |
| 1386000123 | Cu Huynh | Pharmacist | 2605 W March Ln, Stockton, CA 95207-6522 | 2016-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409992 | Tin Enterprise LLC | Pharmacy | 678 N Wilson Way Ste 14, Stockton, CA 95205-4200 | 2020-05-21 |
| 1225592058 | West Lane Clinic Rx LLC | Pharmacy | 4873 West Ln Ste B, Stockton, CA 95210-4548 | 2019-01-25 |
| 1285173104 | Bruce and Lee Inc | Pharmacy | 73 W March Lane Ste D, Stockton, CA 95207-5726 | 2017-02-13 |
| 1588802748 | Woods Supermarket Inc | Pharmacy | 1109 South St, Stockton, MO 65785-9456 | 2009-01-27 |
| 1265580864 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 1, Stockton, CA 95210-3377 | 2007-01-08 |
| 1760530406 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 2, Stockton, CA 95210-3377 | 2007-01-08 |
| 1225120314 | Fremont Center Pharmacy | Pharmacy | 2525 E Fremont St, Stockton, CA 95205-3906 | 2006-09-28 |
| 1417052937 | Douglas Earl Bennett | Pharmacy | 2005 E Mariposa Rd, Stockton, CA 95205-7735 | 2006-09-13 |
| 1326150319 | Califormacy Inc | Pharmacy | 3526 Manthey Rd, Ste H, Stockton, CA 95206-5301 | 2006-08-31 |
| 1396855904 | Costco Wholesale Corporation | Pharmacy | 1616 E Hammer Ln, Stockton, CA 95210 | 2006-08-30 |
| Find all providers in STOCKTON | ||||
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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.