LONGS DRUG STORES CALIFORNIA LLC (NPI# 1831447861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831447861 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORES CALIFORNIA LLC |
| Other Organization Name | LONGS DRUGS #10060 |
| Practice Address |
135 Kehalani Village Dr Wailuku HI 96793-2197 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 8082425606 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2013-04-03 |
| 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 | PHY-820 | HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 733619 | 05 | |
| NCPDP | 1240910 | 01 |
| Other Name | Type Code |
|---|---|
| LONGS DRUGS #10060 | 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 |
| 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 |
| 1669775110 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4028 Lone Tree Way, Antioch, CA 94531-6209 | 2010-12-06 |
| Street Address |
135 KEHALANI VILLAGE DR |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447881057 | Melanie Joy Tom | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2020-02-01 |
| 1205467156 | Shane Manago | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2020-01-30 |
| 1124536354 | Lauren Levine | Pharmacist | 135 Kehalani Village Dr, Wailuku, HI 96793-2197 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1265558258 | Longs Drug Stores California LLC | Pharmacy | 1900 Main St #4, Wailuku, HI 96793-1900 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1467070151 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 89-102 Farrington Hwy Ste 3000, Waianae, HI 96792-4101 | 2020-07-08 |
| 1831745595 | 5 Minute Pharmacy Pearl City LLC | Pharmacy | 98-1247 Kaahumanu St Ste 220, Aiea, HI 96701-5310 | 2019-08-16 |
| 1881160901 | Hawaii-rx LLC | Pharmacy | 1150 S King St Ste 1105, Honolulu, HI 96814-1954 | 2018-10-16 |
| 1205381803 | Pahoa Pharmacy LLC | Pharmacy | 15-2660 Pahoa Village Rd, Pahoa, HI 96778-6720 | 2016-08-24 |
| 1396197182 | Brian A Carter Inc | Pharmacy | 1-3845 Kaumualii Highway, Suite B, Hanapepe, HI 96716-0526 | 2016-07-06 |
| 1992160592 | 5 Minute Pharmacy Kkv LLC | Pharmacy | 2229 N School St Ste 101, Honolulu, HI 96819-2588 | 2015-12-23 |
| 1881068377 | Kaiser Foundation Health Plan Inc | Pharmacy | 4366 Kukui Grove St Ste 101, Kaiser Lihue Pharmacy, Lihue, HI 96766-2006 | 2015-11-20 |
| 1104294297 | Brian A Carter Inc | Pharmacy | 2436 Kaumualii Highway, Kalaheo, HI 96741 | 2015-09-08 |
| 1013305457 | Medipharm Pharmacy LLC | Pharmacy | 891 Ululani St Ste 113, Hilo, HI 96720-3982 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.