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LONGS DRUG STORES CALIFORNIA LLC NPI 1689977001


NPI Information

NPI: 1689977001
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #02289

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
19701 VANOWEN ST
WINNETKA, CA
ZIP 91306
Phone: (818) 716-1218
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LONGS DRUG STORES CALIFORNIA LLC is a pharmacy in Winnetka, CA. The provider is 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. LONGS DRUG STORES CALIFORNIA LLC NPI is 1689977001. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #02289.

The provider's business location address is:

19701 VANOWEN ST
WINNETKA, CA
ZIP 91306-927
Phone: (818) 716-1218

The provider's authorized official is Susan F Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 1/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHY50562CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DL506CMEDICARE PIN
20475950660MEDICARE NSC
35639642OTHERNCPDP - OTHER COMMERCIAL IDENTIFIER
41689977001MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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