Longs Drug Stores California Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LONGS DRUG STORES CALIFORNIA INC

Doing business as

Longs Drug Store

Practice address

10164 SW Washington Square Rd
Tigard, OR 97223-4458

Phone

(503) 639-1110

Fax

(503) 639-9484

NPI assigned

Jun 13, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Halliday

Title

Managed Care Administrator

Phone

(925) 210-6659

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LONGS DRUG STORE Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083657878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N CIVIC DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10164 SW WASHINGTON SQUARE RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234458",
            "telephone_number": "503-639-1110",
            "fax_number": "503-639-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORES CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGED CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-210-6659"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "001252",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3813121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166713",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine L Lomeli
• Melissa Long
• Mikayla Shyanne Long
• Sage Longbotham
• Deanna Marie Longhway
• Erika Lopez del Valle, CADC I
• Efrem Lopez
• Emma A Lopez
• Ingrid M Lopez
• Jane Lia Lopez

• Community/Retail Pharmacy in Tigard, OR
• Providers in Tigard, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.