Longs Drug Stores California LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LONGS DRUG STORES CALIFORNIA LLC

Practice address

1800 Saratoga Ave
San Jose, CA 95129-5211

Phone

(408) 253-3352

NPI assigned

Jun 16, 2006

Last updated

Mar 17, 2018By 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

Susan Colbert

Title

Director Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

  dba CVS Pharmacy #10339

  • Pharmacy
  • Lindale, TX
  • NPI 1255320644

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anh Pham

  • Pharmacist
  • San Jose, CA
  • NPI 1477431328
  NPD (past)
• Jennifer Unger, PHARMD

  • Pharmacist
  • San Jose, CA
  • NPI 1235792631
  NPD (past)
• Rebecca Vo, PHARMD

  • Pharmacist
  • San Francisco, CA
  • NPI 1548879000
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1518901966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295211",
            "telephone_number": "408-253-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5285 Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951295038",
            "country_code": "US",
            "telephone_number": "408-253-3352",
            "fax_number": "408-252-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGS DRUG STORES CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-03-17",
        "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": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longevity Medical Center
• Aaron Longinotti, AMFT
• Longs Drug Stores California LLC (CVS Pharmacy #09808)
• Longs Drug Stores California LLC (CVS Pharmacy#09995)
• Longs Drug Stores California LLC (CVS Pharmacy #09395)
• Longs Drug Stores California LLC (CVS Pharmacy #09257)
• Longs Drug Stores California LLC (CVS Pharmacy #09534)
• Longs Drug Stores California LLC (CVS Pharmacy #09901)
• Longs Drug Stores California LLC (CVS Pharmacy #09559)
• Longs Drug Stores California LLC (CVS Pharmacy #09921)

• Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.