1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY #09393
NPI 1699719039
Pharmacy - Community/Retail Pharmacy in Santa Rosa, CA

Active since June 16, 2006
2075 MENDOCINO AVE, SANTA ROSA, CA 95401(707) 542-4182(707) 542-8914 Get Directions Write a Review

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

About Cvs Pharmacy #09393 NPPES

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

CVS PHARMACY #09393 (NPI 1699719039) is a healthcare organization registered as a community/retail pharmacy in Santa Rosa, 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

NPI1699719039
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLONGS DRUG STORES CALIFORNIA LLC
Location Address2075 MENDOCINO AVESanta Rosa, CA 95401-3667
Mailing AddressOne Cvs DriveWoonsocket, RI 02895 · (401) 765-1500 · Fax (401) 770-7108
Phone(707) 542-4182
Fax(707) 542-8914
Organization SubpartNo
Authorized OfficialSusan ColbertDirector/payer Relations · (401) 770-2751
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 23, 2011
✔ NPI 1699719039 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 · PHY49311
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
2075 MENDOCINO AVE, Santa Rosa, CA 95401
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #09393

Other Identifiers 4

Other0504793Other Id Number-commercial Number
Medicare NSC0475950183
Medicare PINDL721F
Medicaid1699719039CA

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 10

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.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
2,214 services215 patients
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.
493 services492 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
411 services411 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
299 services299 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.
264 services264 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
208 services208 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy 09393 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy 09393

DMEPOS supplier · Santa Rosa, CAOperated by Longs Drug Stores California LLC
✔

Accepts Medicare assignment

CVS Pharmacy 09393 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)20341709
Medicare Participant SinceJanuary 1, 2023
Supplier Location2075 Mendocino AveSanta Rosa, CA 95401
Phone(707) 542-4182
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.

ASHLEY ANN FUKUMAE
Pharmacist
2075 MENDOCINO AVE
SANTA ROSA, CA 95401
Sonoma County (707) 542-4182
ALEXANDER YING KIT HO PHARMD
Pharmacist
2075 MENDOCINO AVE
SANTA ROSA, CA 95401
Sonoma County (707) 542-4182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Longs Drug Stores California LLC is 1699719039. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as CVS Pharmacy #09393.

Where is Longs Drug Stores California LLC located?

Longs Drug Stores California LLC is located at 2075 Mendocino Ave, Santa Rosa, CA 95401. The listed phone number is (707) 542-4182.

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.

Does Longs Drug Stores California LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy 09393 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Longs Drug Stores California LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Longs Drug Stores California LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Longs Drug Stores California LLC was last updated on August 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.