NPI 1700565793 · live from the CMS NPI Registry
Longs Drug Store California LLC
Pharmacy in Kapolei, HI. National Provider Identifier 1700565793, active.
NPI record
| NPI | 1700565793 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 91-5480 Kapolei Pkwy, Bldg 5, Kapolei, HI 96707 |
| Practice phone | 401-765-1500 |
| Mailing address | 1 Cvs Dr, Box 1075, Woonsocket, RI 02895 |
| Enumerated | July 17, 2023 |
| Last updated | July 17, 2023 |
| Authorized official | Susan Colbert, Sr. Director |
| Other names | Longs Drugs #10987 |
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.