CVS PHARMACY #06976 – NPI #1881863397
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CVS PHARMACY #06976 is a pharmacy located in LOS ANGELES, CA. NPPES has assigned the NPI number 1881863397 to CVS PHARMACY #06976 on February 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #06976” is a dba name, the actual legal business name for this organization is LONGS DRUG STORES CALIFORNIA LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 15 years ago on Feb 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #06976 below.

NPI Profile for
LONGS DRUG STORES CALIFORNIA LLC

NPI Number
1881863397
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONGS DRUG STORES CALIFORNIA LLC
Doing Business As (dba): CVS PHARMACY #06976
Primary location
4414 YORK BLVD
LOS ANGELES, CA 90041-3328
Phone: (323) 344-4443 Fax: (323) 344-4449
Mailing address
1 CVS DR
BOX 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax: (401) 770-7108
Organization Subpart
No
Authorized Official
SUSAN COLBERT
DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #06976

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDPCA5629588
MEDICAIDCA1881863397
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy
CA PHY49609
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.