LONGS DRUG STORES CALIFORNIA LLC


Address: 8101 Greenback Ln, Fair Oaks, CA 95628-2502
Phone: 9167264466

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 0551906 01
CA 1801830633 05

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #09814 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 8101 GREENBACK LN
City FAIR OAKS
State CA
Zip Code 95628-2502

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1235736737 Scriptdash Inc Pharmacy 2360 Qume Dr, San Jose, CA 95131-1838 2020-10-07
1023615150 Kaiser Foundation Health Plan Inc Pharmacy 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 2020-10-01
1033725478 Happy Med Inc. Pharmacy 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 2020-09-21
1366058794 Joanna Jongae Kim Pharmacy 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 2020-09-21
1114532231 Prime Rx San Gabriel, Inc. Pharmacy 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 2020-09-15
1164034260 Tin Rx At The Tower Inc. Pharmacy 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 2020-08-19
1144831702 Cameron Michael Rehmani Seraji Pharmacy 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 2020-08-16
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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Competitor

Search similar providers

City FAIR OAKS
Zip Code 95628

Improve Information

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Dataset Information

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.

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