NPI 1871700914 · live from the CMS NPI Registry
Longs Drug Stores California LLC
Pharmacy, Community/Retail Pharmacy in Keaau, HI. National Provider Identifier 1871700914, active.
NPI record
| NPI | 1871700914 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 16-529 Keaau-Pahoa Road, Keaau, HI 96749 |
| Practice phone | 805-982-8600 |
| Mailing address | 1 Cvs Dr, P.O. Box 1075, Woonsocket, RI 02895 |
| Enumerated | May 17, 2007 |
| Last updated | October 29, 2018 |
| Authorized official | Susan Colbert, Director Payer Relations |
| Other names | Longs Drugs #06870 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PHY751 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.