NPIMap

Organization Active NPI

Longs Drug Store #734/Network Pharmacy

  • Community/Retail Pharmacy
  • Cathedral City, CA
National Provider Identifier
1427074202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47583 Issued in CA
Legal business name
LONGS DRUG STORE #734/NETWORK PHARMACY
Practice address
35758 Date Palm Dr
B-5
Cathedral City, CA 92234-6653
Phone
(760) 328-2115
Fax
(760) 202-1333
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa M Cueto
Title
Managed Care Operations Manager
Phone
(925) 210-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY47583 CA Primary

Addresses

Primary practice location

35758 Date Palm Dr
B-5
Cathedral City, CA 92234-6653

Mailing address

141 N Civic Dr
Walnut Creek, CA 94596-3815
Phone (925) 210-6660

National Provider Directory

National Provider Directory
Tax ID family
Longs Drug Store 61275 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

35758 Date Palm Dr
#B5
Cathedral City, CA 92234
Phone (760) 328-2115

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427074202",
    "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": "925-210-6660",
            "fax_number": "925-210-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35758 DATE PALM DR",
            "address_2": "B-5",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346653",
            "telephone_number": "760-328-2115",
            "fax_number": "760-202-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORE #734/NETWORK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUETO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGED CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "925-210-6660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.