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LONGS DRUG STORES CALIFORNIA LLC NPI 1124062567


NPI Information

NPI: 1124062567
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09993

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
9280 SIERRA COLLEGE BLVD
ROSEVILLE, CA
ZIP 95661
Phone: (916) 772-5313
Get Directions

LONGS DRUG STORES CALIFORNIA LLC is a pharmacy in Roseville, 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 1124062567. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09993.

The provider's business location address is:

9280 SIERRA COLLEGE BLVD
ROSEVILLE, CA
ZIP 95661-919
Phone: (916) 772-5313
Fax: (916) 772-5343

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) 770-2751.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 3/8/2012.


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 PharmacyPHY49495CALIFORNIANo
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
10475950421MEDICARE NSC
21124062567MEDICAIDCALIFORNIA
30522070OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4P00959574MEDICARE PIN
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: 4/28/2024

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