LONGS DRUG STORES CALIFORNIA LLC (NPI# 1801830633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801830633 |
Entity Type | Organization |
Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
Other Organization Name | CVS PHARMACY #09814 |
Practice Address |
8101 Greenback Ln Fair Oaks CA 95628-2502 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 9167264466 |
Mailing Telephone | 4017651500 |
Mailing Fax Number | 4017707108 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2012-05-16 |
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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49505 | CA | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 0551906 | 01 | |
CA | 1801830633 | 05 |
Other Name | Type Code |
---|---|
CVS Pharmacy #09814 | 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 |
8101 GREENBACK LN |
City | FAIR OAKS |
State | CA |
Zip Code | 95628-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417412495 | Maivi Pham | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2019-02-05 |
1659836526 | Chandani Honest | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2019-02-05 |
1164943569 | Christina Marie Walker | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2017-07-06 |
1952837510 | Gina Maria Rochetti | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2017-05-02 |
1083148134 | Kehinde Paul Bankole | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2017-04-15 |
1902270531 | Sarah Le | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2015-11-19 |
1093184632 | Tosin Mercy Akinleyimu | Pharmacist | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2015-09-24 |
1952718447 | Sara Hunt | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2014-07-16 |
1659612612 | Katherine Cherry | Nurse Practitioner | 8101 Greenback Ln, Fair Oaks, CA 95628-2502 | 2013-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
Find all providers in zip 95628 |
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] |
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1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
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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.