LONGS DRUG STORE #366 (NPI# 1912922055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912922055 |
| Entity Type | Organization |
| Organization Name | LONGS DRUG STORE #366 |
| Practice Address |
614 Palomar St Chula Vista CA 91911-7133 |
| Mailing Address |
141 N Civic Dr Walnut Creek CA 94596-3815 |
| Practice Telephone | 6194091303 |
| Practice Fax Number | 6194091307 |
| Mailing Telephone | 9252106660 |
| Mailing Fax Number | 9252106222 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA M CUETO (MANAGED CARE OPERATIONS MANAGER) |
| Authorized Official Telephone | 9252106660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 48185 | CA | Suppliers |
| Street Address |
614 PALOMAR ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-7133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| 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 |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1255979241 | Eldahmy Pharmacy Inc | Pharmacy | 296 H St, Chula Vista, CA 91910-4753 | 2019-12-20 |
| 1902442387 | Leo Salutem Inc | Pharmacy | 660 Palomar St Unit 410411, Chula Vista, CA 91911-2607 | 2019-11-20 |
| 1285190173 | Pharmacy World Inc | Pharmacy | 1637 Third Ave Ste A, Chula Vista, CA 91911-5823 | 2019-02-15 |
| 1730202425 | Riteaid 5614 | Pharmacy | 740 Otay Lakes Rd, Chula Vista, CA 91910-6915 | 2007-04-09 |
| 1497865091 | Costco Wholesale Corporation | Pharmacy | 895 E H St, Chula Vista, CA 91910 | 2006-08-30 |
| 1306956958 | Costco Wholesale Corporation | Pharmacy | 1130 Broadway, Chula Vista, CA 91911 | 2006-08-30 |
| 1700891710 | Walgreen Co | Pharmacy | 1430 Eastlake Pkwy, Chula Vista, CA 91915-1926 | 2006-07-29 |
| 1457397515 | Garfield Beach Cvs LLC | Pharmacy | 16 3rd Ave, Chula Vista, CA 91910-1039 | 2006-06-20 |
| 1861438921 | Garfield Beach Cvs LLC | Pharmacy | 1376 3rd Ave, Chula Vista, CA 91911-4303 | 2006-06-20 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on LONGS DRUG STORE #366.
| 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.