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Export Provider Record NPI 1124061486
Longs Drug Stores California Llc
Organization Subpart: NO
Active
NPI Number1124061486
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1124061486
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-06-14
Last Updated2012-09-27
Authorized OfficialSusan Colbert
Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, P.o. Box 1075
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500 | Fax: (401) 770-7108
📍 View Map
Primary Practice Address16995 Walnut Grove Dr
Morgan Hill, CA 95037-4440
United States
Phone: (408) 779-6981
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)0553669Other ID Number-Commercial Number
MEDICAIDCA1124061486
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0003X – Pharmacy, Community/Retail PharmacyCAPHY49393
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes333600000X – Pharmacy
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About NPI 1124061486

Longs Drug Stores California Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124061486. The primary specialty listed is Pharmacy. The organization is located in Morgan Hill, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124061486?

NPI 1124061486 belongs to Longs Drug Stores California Llc, a Pharmacy in Morgan Hill, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124061486 active?

The current status of NPI 1124061486 in the NPPES registry is Active. The record was last updated on 2012-09-27.

What specialty is NPI 1124061486?

NPI 1124061486 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124061486?

You can verify NPI 1124061486 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124061486?

The primary practice address on file for NPI 1124061486 is 16995 Walnut Grove Dr, Morgan Hill, CA 95037-4440. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124061486 issued?

NPI 1124061486 was first issued (enumerated) on 2006-06-14. The NPPES record was last updated on 2012-09-27.

Practice Location Map

Longs Drug Stores California Llc is located at 16995 Walnut Grove Dr, Morgan Hill, CA. Use the map below to find directions or verify the practice location.

📍 16995 Walnut Grove Dr, Morgan Hill, CA 95037-4440  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Longs Drug Stores California Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124061486. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPHY49393CA
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162