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LONGS DRUG STORES CALIFORNIA LLC NPI 1356384523


NPI Profile

NPI: 1356384523
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: CVS PHARMACY #09378

Classification:Pharmacy - 333600000X
Entity Type: Organization
Address:
4100 REDWOOD RD
OAKLAND, CA
ZIP 94619
Get Directions

Phone: (510) 531-0602

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 1356384523. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09378.

The provider's business location address is:

4100 REDWOOD RD
OAKLAND, CA
ZIP 94619-363
Phone: (510) 531-0602
Fax: (510) 531-4884

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 6/14/2006 and was last updated on 8/22/2011.


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
23336C0003XPharmacyCommunity/Retail PharmacyPHY49476CALIFORNIANo
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
1DL721FMEDICARE PIN
21356384523MEDICAIDCALIFORNIA
30475950318MEDICARE NSC
40509705OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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