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LONGS DRUG STORES CALIFORNIA LLC NPI 1003859844


NPI Information

NPI: 1003859844
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09793

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2700 HOMESTEAD RD
SANTA CLARA, CA
ZIP 95051
Phone: (408) 247-8700
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LONGS DRUG STORES CALIFORNIA LLC is a community/retail pharmacy pharmacy in Santa Clara, 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 1003859844. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09793.

The provider's business location address is:

2700 HOMESTEAD RD
SANTA CLARA, CA
ZIP 95051-353
Phone: (408) 247-8700
Fax: (408) 247-8214

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 PharmacyPHY49348CALIFORNIAYes

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
11003859844MEDICAIDCALIFORNIA
20475950081MEDICARE NSC
30523666OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4DL721FMEDICARE PIN

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: 11/14/2023

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