{"npi":"1083657308","type":"NPI-2","status":"active","name":{"display":"Longs Drug Stores California LLC","other":[],"organization_name":"LONGS DRUG STORES CALIFORNIA LLC","authorised_official":"Susan Colbert"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":false,"state":"CA","license":"PHY49333"},{"code":"333600000X","description":"Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"49980 JEFFERSON ST","city":"INDIO","state":"CA","postal_code":"922019720","country_code":"US","phone":"7607718848","fax":"7607718843"},{"purpose":"MAILING","street_1":"ONE CVS DRIVE","city":"WOONSOCKET","state":"RI","postal_code":"02895","country_code":"US","street_2":"BOX 1075","phone":"4017651500","fax":"4017707108"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1083657308","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"5600552","state":null,"issuer":"OTHER ID NUMBER-COMMERCIAL NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930035860","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"CA","pac_id":"1254226012"}]},"enumeration_date":"2006-06-14","last_updated":"2012-03-02","_meta":{"source":"NPPES","snapshot_date":"2012-03-02","doc_url":"https://findmynpi.com/api"}}