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LONGS DRUG STORES CALIFORNIA LLC NPI 1790728525


NPI Information

NPI: 1790728525
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09831

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1387 W WHITTIER BLVD
LA HABRA, CA
ZIP 90631
Phone: (562) 691-1721
Get Directions

LONGS DRUG STORES CALIFORNIA LLC is a community/retail pharmacy pharmacy in La Habra, CA. The provider is 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. LONGS DRUG STORES CALIFORNIA LLC NPI is 1790728525. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09831.

The provider's business location address is:

1387 W WHITTIER BLVD
LA HABRA, CA
ZIP 90631-612
Phone: (562) 691-1721
Fax: (562) 694-4195

The provider's authorized official is Susan Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/23/2011.


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
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY49414CALIFORNIAYes

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
20564597OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
31790728525MEDICAIDCALIFORNIA
40475950204MEDICARE NSC

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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