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 #381

Practice address

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039

Phone

(808) 235-5805

Fax

(808) 235-6029

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By 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 #381 Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1669672432",
    "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": "45-480 KANEOHE BAY DR",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442039",
            "telephone_number": "808-235-5805",
            "fax_number": "808-235-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORES CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "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 #381",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Loganbill
• Elizabeth Long
• Jeanne Marie Long
• Longs Drug Stores California LLC (Longs Drugs #09953)
• Longs Drug Stores California LLC (Longs Drugs #17856)
• Longs Drug Stores California, Inc. (Longs Drug Store #062)
• Longs Drug Stores California, L.L.C. (Longs Drugs #09671)
• Cindy Dela Vega Losbog, LCSW
• Sharon Jan Lowrie, M.D.
• Nathan Lowry, PT

• Durable Medical Equipment & Medical Supplies in Kaneohe, HI
• Providers in Kaneohe, 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 Jul 20, 2007; 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.