NPI 1053622696 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Haleiwa, HI. National Provider Identifier 1053622696, active.
NPI record
| NPI | 1053622696 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 66-197 Kamehameha Hwy #1, Haleiwa, HI 96712 |
| Practice phone | 808-637-9393 |
| Mailing address | 1 Cvs Dr, Box 1075 Pharmacy Enrollments, Woonsocket, RI 02895 |
| Enumerated | June 29, 2010 |
| Last updated | July 12, 2011 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #03070 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.