Active NPI
Longs Drug Stores California Inc
Doing business as Longs Drug Store
- Pharmacy
- Concord, CA
National Provider Identifier
1982647749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY19537
- Legal business name
- LONGS DRUG STORES CALIFORNIA INC
- Doing business as
- Longs Drug Store
- Practice address
- 15408 Ygnacio Valley Rd
Concord, CA 95421 - Phone
- (530) 865-4775
- Fax
- (530) 865-1491
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Cuero
- Title
- Director
- Phone
- (925) 210-6660
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY19537 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
15408 Ygnacio Valley Rd
Concord, CA 95421
Mailing address
141 N Civic Dr
Walnut Creek, CA 94596-3815
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0581656 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA 418720 | Medicaid | CA | |
| PHA394680 | Medicaid | CA | |
| PHA 394680 | Medicaid | CA |
Other names 1
- LONGS DRUG STORE
National Provider Directory
National Provider Directory- Tax ID family
- Longs Drug Store 172
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Longs Drug Store
- Community/Retail Pharmacy
- San Pablo, CA
- NPI 1912940750
-
- Pharmacy
- Merced, CA
- NPI 1952344210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1982647749",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15408 YGNACIO VALLEY RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "95421",
"telephone_number": "530-865-4775",
"fax_number": "530-865-1491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGS DRUG STORES CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CUERO",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "925-210-6660"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY19537",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0581656",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA 418720",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA394680",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA 394680",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LONGS DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.