CVS PHARMACY #09905
NPI 1003859356
Pharmacy in Yorba Linda, CA

Active since June 14, 2006
20475 YORBA LINDA BLVD, YORBA LINDA, CA 92886(714) 693-1055(714) 693-3147 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #09905 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #09905 (NPI 1003859356) is a healthcare organization registered as a pharmacy in Yorba Linda, California and active in the NPI registry since June 2006. The organization lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1003859356
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLONGS DRUG STORES CALIFORNIA LLC
Location Address20475 YORBA LINDA BLVDYorba Linda, CA 92886-3043
Mailing Address1 Cvs Dr, P.o. Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Fax(714) 693-3147
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 8, 2012
NPI 1003859356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY49667 (CA)
20475 YORBA LINDA BLVD, Yorba Linda, CA 92886

Other Names 1

Doing Business AsCvs Pharmacy #09905

Other Identifiers 5

Other0597154Other Id Number-commercial Number
Medicare NSC0475950220
Medicaid1003859356CA
Medicare PINP00959577
Medicare PINDL506C

Accepted Insurance

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
479 services478 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
295 services295 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
171 services171 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
58 services58 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
53 services53 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmaacy #09905 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmaacy #09905

DMEPOS supplier · Yorba Linda, CAOperated by Longs Drug Stores California LLC

Accepts Medicare assignment

CVS Pharmaacy #09905 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20344715
Medicare Participant SinceJanuary 1, 2023
Supplier Location20475 Yorba Linda BlvdYorba Linda, CA 92886
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
20475 YORBA LINDA BLVD
YORBA LINDA, CA 92886
Pharmacist
20475 YORBA LINDA BLVD
YORBA LINDA, CA 92886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003859356, enumerated as an "organization" on June 14, 2006.

The provider is located at 20475 YORBA LINDA BLVD YORBA LINDA, CA 92886 and the phone number is (714) 693-1055.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.