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LONGS DRUG STORES CALIFORNIA LLC NPI 1427258128


NPI Information

NPI: 1427258128
Provider Name: LONGS DRUG STORES CALIFORNIA LLC

Doing Business As: LONGS DRUG STORE #09988

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
91-1401 FORT WEAVER RD
EWA BEACH, HI
ZIP 96706
Phone: (808) 685-5622
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LONGS DRUG STORES CALIFORNIA LLC is a durable medical equipment medical supplies in Ewa Beach, HI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LONGS DRUG STORES CALIFORNIA LLC NPI is 1427258128. The provider is registered as an organization entity type.
The provider Is Doing Business As Longs Drug Store #09988.

The provider's business location address is:

91-1401 FORT WEAVER RD
EWA BEACH, HI
ZIP 96706-253
Phone: (808) 685-5622
Fax: (808) 685-5566

The provider's authorized official is Cristiana M Mauricio .
The authorized official title is Manager Pharmacy Enrollments and has the following contact phone number (401) 770-2937.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 12/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
3332B00000XDurable Medical Equipment & Medical Supplies562050HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125319701MEDICAIDHAWAII
21203885OTHERHAWAIIOTHER ID
30475950419MEDICARE NSCHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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