CVS PHARMACY #09559
NPI 1629010459
Pharmacy - Community/Retail Pharmacy in San Jose, CA

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

The NPI number for Longs Drug Stores California LLC is 1629010459. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as CVS Pharmacy #09559.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since June 13, 2006

1285 LINCOLN AVE, SAN JOSE, CA 95125(408) 280-5521(408) 280-6584 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy #09559 NPPES

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

CVS PHARMACY #09559 (NPI 1629010459) is a healthcare organization registered as a community/retail pharmacy in San Jose, 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

NPI1629010459

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLONGS DRUG STORES CALIFORNIA LLC

Location Address1285 LINCOLN AVESan Jose, CA 95125-3016

Mailing Address1 Cvs Dr, P.o. Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(408) 280-5521

Fax(408) 280-6584

Organization SubpartNo

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

Enumeration DateJune 13, 2006

Last NPPES UpdateAugust 23, 2011

✔ NPI 1629010459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY49713

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

1285 LINCOLN AVE, San Jose, CA 95125

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Other Names 1

Doing Business AsCvs Pharmacy #09559

Other Identifiers 4

Medicare NSC0475950514

Medicaid1629010459CA

Other0585995Other Id Number-commercial Number

Medicare PINDL721F

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 ›

Areas of Expertise CMS Part B claims 5

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.

277 services277 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.

210 services210 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.

53 services53 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.

22 services22 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.

22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #09559 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #09559

DMEPOS supplier · San Jose, CAOperated by Longs Drug Stores California LLC

✔

Accepts Medicare assignment

CVS Pharmacy #09559 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)20342105

Medicare Participant SinceJanuary 1, 2023

Supplier Location1285 Lincoln AveSan Jose, CA 95125

Phone(408) 280-5521

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.

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Other Providers at the Same Location NPPES 6

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

DON LE

Pharmacist