NPIMap

Organization Active NPI

Longs Drug Store California LLC

Doing business as Longs Drugs #10987

  • Pharmacy
  • Kapolei, HI
National Provider Identifier
1700565793
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LONGS DRUG STORE CALIFORNIA LLC
Doing business as
Longs Drugs #10987
Practice address
91-5480 Kapolei Pkwy
BLDG 5
Kapolei, HI 96707
Phone
(401) 765-1500
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Susan F Colbert
Title
Sr. Director
Phone
(401) 765-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

91-5480 Kapolei Pkwy
BLDG 5
Kapolei, HI 96707

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895
Phone (401) 765-1500

Other names 1

  • Longs Drugs #10987 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100907000987 HI Part B Supplier - Mass Immunization (Roster Biller Only) 1254226012 This NPI is an additional NPI on the enrollment
O20240214002967 HI DME Supplier - Pharmacy 1254226012 Practice locations: Kapolei, HI

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Longs Drugs #1098791-5480 Kapolei Pkwy, BLDG 5, Kapolei, HI 96707-3256(808) 650-6457 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Longs Drug Store 35275 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

Member of 1

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

Locations (25 of 355)

885 Island Dr
Ste A
Alameda, CA 94502
Phone (510) 865-2155

931 Marina Village Pkwy
Alameda, CA 94501
Phone (510) 523-3504

3158 Danville Blvd
Alamo, CA
Phone (925) 314-9714

2511 Somersville Rd
Antioch, CA 94509
Phone (925) 754-5800

3130 Buchanan Rd
Antioch, CA 94509
Phone (925) 754-5800

3130 Buchanan Rd
#9772
Antioch, CA 94509
Phone (925) 754-5800

4028 Lone Tree Way
Antioch, CA 94531
Phone (925) 978-0276

4028 Lone Tree Way
#4326
Antioch, CA 94531
Phone (925) 978-0276

4444 Lone Tree Way
Antioch, CA 94531
Phone (925) 756-0224

20180 US Highway 18
Apple Valley, CA 92307
Phone (760) 946-3335

8320 El Camino Real
Atascadero, CA 93422
Phone (805) 466-0732

10045 Combie Rd
Auburn, CA 95602
Phone (530) 268-3753

2140 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-6084

388 Elm Ave
Auburn, CA 95603
Phone (530) 823-0825

2690 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 872-3821

3500 Stine Rd
Bakersfield, CA 93309
Phone (661) 833-0200

4300 California Ave
Bakersfield, CA 93309
Phone (661) 326-1204

8200 Stockdale Hwy
Ste G
Bakersfield, CA 93311
Phone (661) 832-0982

2300 Shattuck Ave
Berkeley, CA 94704
Phone (510) 549-4255

3171 Balfour Rd
Brentwood, CA 94513
Phone (925) 626-3776

760 Arneill Rd
Camarillo, CA 93010
Phone (805) 368-8167

3020 Green Valley Rd
#B
Cameron Park, CA 95682
Phone (530) 676-6352

3020 Green Valley Rd
Ste B
Cameron Park, CA 95682
Phone (530) 676-6352

100 N San Tomas Aquino Rd
Campbell, CA 95008
Phone (408) 374-1337

148 N San Tomas Aquino Rd
Campbell, CA 95008
Phone (408) 374-1337

Practitioners & affiliated clinicians

Practitioners 1,525

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.

View all 1,525

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1700565793",
    "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": "02895",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-5480 KAPOLEI PKWY",
            "address_2": "BLDG 5",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "401-765-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORE CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longs Drugs #10987",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.