Longs Drug Stores California LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49758 Issued in CA

Legal business name

LONGS DRUG STORES CALIFORNIA LLC

Practice address

1835 Cliff Dr
Santa Barbara, CA 93109-1652

Phone

(805) 962-8709

Fax

(805) 962-7130

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS Pharmacy #09567 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harvey Castillo

  • Pharmacist
  • Santa Barbara, CA
  • NPI 1023467511
  NPD (past)
• Berenice Garcia

  • Pharmacy Technician
  • Santa Barbara, CA
  • NPI 1548851850
  NPD (past)
• Jenny Huynh, PHARMD

  • Pharmacist
  • Santa Barbara, CA
  • NPI 1982053369
  NPD (past)
• Cynthia Leyva, CPH

  • Pharmacy Technician
  • Santa Barbara, CA
  • NPI 1295325165
  NPD (past)
• Mark O Nashed

  • Pharmacist
  • Santa Barbara, CA
  • NPI 1316544059
  NPD (past)
• Nishan Paul Sakadjian, PHARM.D

  • Pharmacist
  • Santa Barbara, CA
  • NPI 1922564632
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1346283108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "P.O. BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500",
            "fax_number": "401-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 CLIFF DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091652",
            "telephone_number": "805-962-8709",
            "fax_number": "805-962-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORES CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0581543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346283108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #09567",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip A. Long
• Cecily Longo
• Perie Jane Longo, PH.D
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC
• Longs Drug Stores California LLC
• Lindsay Beth Lookingbill
• Morena Loomis, RN, PHN, BSN
• Roberto Lopez Cervera
• Yadira Lopez Cordova

• Community/Retail Pharmacy in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.