Longs Drug Stores California, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

562050 Issued in HI

Legal business name

LONGS DRUG STORES CALIFORNIA, INC.

Doing business as

Longs Drug Store #317

Practice address

91-590 Farrington Hwy
#300
Kapolei, HI 96707-2009

Phone

(808) 674-0269

Fax

(808) 647-0955

NPI assigned

Jul 18, 2007

Last updated

Aug 22, 2020By 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 M Halliday

Title

Managed Care Administrator

Phone

(925) 210-6659

Specialties & licenses 1

Addresses

Other names 1

• Longs Drug Store #317 Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326248485",
    "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",
            "telephone_number": "925-210-6659",
            "fax_number": "925-210-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-590 FARRINGTON HWY",
            "address_2": "#300",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009",
            "telephone_number": "808-674-0269",
            "fax_number": "808-647-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORES CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGED CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-210-6659"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": "562050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longs Drug Store #317",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin D Longgat, PHARM.D.
• Jasmine Longoria
• Longs Drug Store California LLC (Longs Drugs #10987)
• Longs Drug Stores California LLC (Longs Drugs #17471)
• Longs Drug Stores California LLC (Longs Drugs #09317)
• Jill Ayo Lopez
• Yuki Lopez, MAT
• Chelsie Lucas
• Vanessa Lucero
• Dana Lucio, LMHC

• Durable Medical Equipment & Medical Supplies in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.