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CVS PHARMACY #09986
NPI 1760424592
Pharmacy in Madera, CA

Active since June 13, 2006CLIA 05D2274880 · Waiver
1400 HOWARD RD, MADERA, CA 93637(559) 661-8380 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #09986 NPPES

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

CVS PHARMACY #09986 (NPI 1760424592) is a healthcare organization registered as a pharmacy in Madera, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1760424592
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLONGS DRUG STORES CALIFORNIA LLC
Location Address1400 HOWARD RDMadera, CA 93637-5125
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(559) 661-8380
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 19, 2014
✔ NPI 1760424592 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 PHY49484 (CA)
1400 HOWARD RD, Madera, CA 93637
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Other Names 1

Doing Business AsCvs Pharmacy #09986

Other Identifiers 4

Other0509185Other Id Number
Medicaid1760424592CA
Medicare PINDL721FCA
Medicare NSC0475950384

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 05D2274880

Cvs/Pharmacy *09986 · Madera, CA
Active · expires Jan 10, 2027
CLIA Number05D2274880
Laboratory TypePharmacy
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorNho Lai
Laboratory Phone(866) 389-2727
Laboratory LocationCvs/Pharmacy *099861400 Howard Rd, Madera, CA 93637
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.
307 services301 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.
217 services217 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.
67 services67 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.
31 services31 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.
31 services31 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #09986 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #09986

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

Accepts Medicare assignment

CVS Pharmacy #09986 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)20341091
Medicare Participant SinceJanuary 1, 2023
Supplier Location1400 Howard RdMadera, CA 93637
Phone(559) 661-8380
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 4

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

SHANNEL KWON
Pharmacist
1400 HOWARD RD
MADERA, CA 93637
Madera County (559) 661-8380
AMBER GOODLOE
Pharmacist
1400 HOWARD RD
MADERA, CA 93637
Madera County (559) 661-8380
FELIX RASGO PHARMD
Pharmacist
1400 HOWARD RD
MADERA, CA 93637
Madera County (559) 661-8380
LINDSAY DIANE KINAKIN
Pharmacist
1400 HOWARD RD
MADERA, CA 93637
Madera County (503) 771-1386

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 1760424592. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as CVS Pharmacy #09986.

Where is Longs Drug Stores California LLC located?

Longs Drug Stores California LLC is located at 1400 Howard Rd, Madera, CA 93637. The listed phone number is (559) 661-8380.

What is Longs Drug Stores California LLC's specialty?

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #09986 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Longs Drug Stores California LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2274880) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.