NPI 1669607784 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy in Kailua Kona, HI. National Provider Identifier 1669607784, active.
NPI record
| NPI | 1669607784 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 74-5455 Makala Blvd, Kailua Kona, HI 96740 |
| Practice phone | 808-329-7905 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | May 19, 2009 |
| Last updated | February 1, 2021 |
| Authorized official | Susan Colbert, Sr. Director, Payer Relations |
| Other names | Longs Drugs #17472 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHY-898 (HI) |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.