CVS PHARMACY #09597
NPI 1104860543
Pharmacy in Capitola, CA

Q: What is Longs Drug Stores California LLC's NPI number?

The NPI number for Longs Drug Stores California LLC is 1104860543. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as CVS Pharmacy #09597.

Q: What is Longs Drug Stores California LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since June 16, 2006CLIA 05D2269055 · Waiver

1750 41ST AVE, CAPITOLA, CA 95010(831) 476-0400(831) 475-0214 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy #09597 NPPES

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

CVS PHARMACY #09597 (NPI 1104860543) is a healthcare organization registered as a pharmacy in Capitola, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Susan Colbert, Director/payer Relations, as its authorized official.

NPPES Registry Identity

NPI1104860543

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameLONGS DRUG STORES CALIFORNIA LLC

Location Address1750 41ST AVECapitola, CA 95010-2503

Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(831) 476-0400

Fax(831) 475-0214

Organization SubpartNo

Authorized OfficialSusan ColbertDirector/payer Relations · (401) 770-2751

Enumeration DateJune 16, 2006

Last NPPES UpdateMarch 7, 2012

✔ NPI 1104860543 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 PHY49765 (CA)

1750 41ST AVE, Capitola, CA 95010

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Other Names 1

Doing Business AsCvs Pharmacy #09597

Other Identifiers 5

Medicare PINDL721FCA

Medicare PINP00959574

Other0504856Other Id Number-commercial Number

Medicaid1104860543CA

Medicare NSC0475950146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2269055

Longs Drug Stores California, LLC Dba Cvs/Pharmacy #9597 · Capitola, CA

Active · expires Sep 19, 2026

CLIA Number05D2269055

Laboratory TypePharmacy

Certificate Effective DateSeptember 20, 2024

Certificate Expiration DateSeptember 19, 2026

Laboratory DirectorBinh Nguyen

Laboratory Phone(831) 476-0400

Laboratory LocationLongs Drug Stores California, LLC Dba Cvs/Pharmacy #95971750 41st Ave, Capitola, CA 95010

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 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.

1,209 services1,201 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.

594 services594 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.

545 services545 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.

73 services72 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.

68 services67 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

19 services18 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #09597 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #09597

DMEPOS supplier · Capitola, CAOperated by Longs Drug Stores California LLC

✔

Accepts Medicare assignment

CVS Pharmacy #09597 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)20345009

Medicare Participant SinceJanuary 1, 2023

Supplier Location1750 41st AveCapitola, CA 95010

Phone(831) 476-0400

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 11

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

LAWRENCE E. URMAN

Pharmacist