Longs Drug Store #366

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 48185 Issued in CA

Legal business name

LONGS DRUG STORE #366

Practice address

614 Palomar St
Chula Vista, CA 91911-7133

Phone

(619) 409-1303

Fax

(619) 409-1307

NPI assigned

Jul 12, 2006

Last updated

Aug 22, 2020By 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

Lisa M Cueto

Title

Managed Care Operations Manager

Phone

(925) 210-6660

Specialties & licenses 1

Addresses

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912922055",
    "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": "614 PALOMAR ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117133",
            "telephone_number": "619-409-1303",
            "fax_number": "619-409-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUG STORE #366",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "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": "PHY 48185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyenne Marie Long
• Lamont Long
• Ryan M Long, DPT
• Angelina Longobardi
• James Joseph Longobardi, DPM
• Longs Drug Stores California LLC (CVS Pharmacy #09240)
• Longs Drug Stores California LLC (CVS Pharmacy #09632)
• Xochitl Raine Rhodes Longstaff, MD
• Rebecca M. Loperena
• Lopez and Noyes Dental Corp

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Community/Retail Pharmacy in California

• 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.