NPI 1215174693 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Kapolei, HI. National Provider Identifier 1215174693, active.
NPI record
| NPI | 1215174693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 4450 Kapolei Pkwy, Kapolei, HI 96707 |
| Practice phone | 808-457-3680 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | January 7, 2009 |
| Last updated | October 25, 2016 |
| Authorized official | Susan Colbert, Sr. Director, Payer Relations |
| Other names | Longs Drugs #17471 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHY-903 (HI) |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.