| NPI | 1285677039 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-13 |
| Last Updated | 2012-03-06 |
| Authorized Official | Susan Colbert Director, Payer Relations Phone: 4017702751 |
| Mailing Address | 1 Cvs Dr, P.o. Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 | Fax: (401) 770-7108 📍 View Map |
| Primary Practice Address | 580 Moraga Rd Moraga, CA 94556 United States Phone: (925) 631-0204 | Fax: (925) 631-0302 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 0579790 | Other ID Number-Commercial Number |
| Other (non-Medicare) | - | 0579790 | Other ID Number |
| MEDICAID | CA | 1285677039 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | CA | PHY49528 |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 333600000X – Pharmacy | - | - |
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About NPI 1285677039
Longs Drug Stores California Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1285677039. The primary specialty listed is Pharmacy. The organization is located in Moraga, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285677039?
NPI 1285677039 belongs to Longs Drug Stores California Llc, a Pharmacy in Moraga, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285677039 active?
The current status of NPI 1285677039 in the NPPES registry is Active. The record was last updated on 2012-03-06.
What specialty is NPI 1285677039?
NPI 1285677039 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 1285677039?
You can verify NPI 1285677039 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 1285677039?
The primary practice address on file for NPI 1285677039 is 580 Moraga Rd, Moraga, CA 94556. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285677039 issued?
NPI 1285677039 was first issued (enumerated) on 2006-06-13. The NPPES record was last updated on 2012-03-06.
Practice Location Map
Longs Drug Stores California Llc is located at 580 Moraga Rd, Moraga, CA. Use the map below to find directions or verify the practice location.
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 1285677039. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHY49528 | CA |