Longs Drug Stores California Inc
Organization Active NPI Community/Retail Pharmacy · Walnut Creek, CA
NPI 1760424576 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1760424576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- LONGS DRUG STORES CALIFORNIA INC
- Practice address
- 2220 Oak Grove Rd
Walnut Creek, CA 94598-2509 - Phone
- (925) 935-2630
- Fax
- (925) 935-3755
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Halliday
- Title
- Managed Care Administrator
- Phone
- (925) 210-6659
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Longs Drug Store 147
Locations
2220 Oak Grove Rd
Walnut Creek, CA 94598
Phone (925) 935-2630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY45590 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2220 Oak Grove Rd
Walnut Creek, CA 94598-2509
Mailing address
141 N Civic Dr
Walnut Creek, CA 94596-3815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA 455900 | Medicaid | CA | |
| 0563610 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA455900 | Medicaid | CA |
Other names
- LONGS DRUG STORE
Other providers in Walnut Creek, CA
- Joseph E. Long
- Margaret Long
- Merrill Long
- Michael Min Jung Long
- Taylor Long
- Longs Drug Stores California LLC
- Longs Drug Stores California LLC
- Longs Drug Stores California LLC
- Longs Drug Stores California, Inc.
- William Cooper Longton
All providers in Walnut Creek, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.