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LONGS DRUG STORES CALIFORNIA LLC NPI 1104868918


NPI Profile

NPI: 1104868918
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09929

Classification:Pharmacy - 333600000X
Entity Type: Organization
Address:
2000 MOUNTAIN BLVD
OAKLAND, CA
ZIP 94611
Get Directions

Phone: (510) 339-8535

LONGS DRUG STORES CALIFORNIA LLC is a pharmacy in Oakland, 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 1104868918. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09929.

The provider's business location address is:

2000 MOUNTAIN BLVD
OAKLAND, CA
ZIP 94611-807
Phone: (510) 339-8535
Fax: (510) 339-8648

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 3/5/2012.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHY49383CALIFORNIANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

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
10572859OTHEROTHER ID NUMBER
20475950060MEDICARE NSC
3P00959574MEDICARE PIN
40572859OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5DL721FMEDICARE 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: 10/10/2021

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