LONGS DRUG STORES CALIFORNIA LLC SOS Verified
9430 DEL WEBB BLVD, LAS VEGAS, NV 89134
NPI Number
1215979042
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LONGS DRUG STORES CALIFORNIA, L.L.C.
Entity Number: C5903-1978
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 1978-11-15
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Member | Longs Drug Stores L.L.C. | One CVS Drive, Woonsocket, RI | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2022 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90662 | Vaccine or immunization | 25 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 30 | $0 | 0.0% | $0 |