NPI 1790728582 · live from the CMS NPI Registry
Longs Drug Stores California ,L.L.C.
Pharmacy in Kapaa, HI. National Provider Identifier 1790728582, active.
NPI record
| NPI | 1790728582 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 645 Aleka Loop, Kapaa, HI 96746 |
| Practice phone | 808-822-4918 |
| Mailing address | 1 Cvs Dr, Box 1075-Pharmacy Enrollments, Woonsocket, RI 02895 |
| Enumerated | June 13, 2006 |
| Last updated | April 24, 2015 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #09952 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHY-740 (HI) |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.