Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Longs Drug Stores California LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1558303362

Longs Drug Stores California LLC is a Durable Medical Equipment & Medical Supplies in San Mateo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 De Anza Blvd
San Mateo, CA 94402-3987
Phone: (650) 572-2514
Fax: (650) 572-2790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY49461 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1558303362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director/Payer Relatiions · (401) 770-2751
Other names Cvs Pharmacy #09977
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 23, 2011
Mailing address1 Cvs Dr, P.O. Box 1075, Woonsocket, RI 02895-6146

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