GARFIELD BEACH CVS LLC (NPI# 1134518004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134518004 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #10146 |
| Practice Address |
12746 W Jefferson Blvd Ste 3160 Playa Vista CA 90094 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3108629810 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 5653793 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10146 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1386276400 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 8900 S Sepulveda Blvd, Los Angeles, CA 90045-3604 | 2020-02-06 |
| 1366074676 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 415 S La Brea Ave, Los Angeles, CA 90036-3523 | 2020-02-05 |
| 1750912226 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1610 Wilshire Blvd, Santa Monica, CA 90403-5508 | 2020-02-03 |
| 1306477864 | Garfield Beach Cvs LLC | Pharmacy | 1982 Old Mission Dr, Solvang, CA 93463-2304 | 2020-02-03 |
| 1073144531 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 3968 Missouri Flat Rd, Placerville, CA 95667-5240 | 2020-02-03 |
| 1689214744 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 N Broadway # B101, Los Angeles, CA 90012-4700 | 2020-01-07 |
| 1225688138 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 500 Wilshire Blvd, Santa Monica, CA 90401-1404 | 2019-09-13 |
| 1093363483 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2650 Broadway, Oakland, CA 94612-3190 | 2019-08-28 |
| 1235787714 | Garfield Beach Cvs LLC | Pharmacy | 14310 Hawthorne Blvd, Lawndale, CA 90260-1515 | 2019-08-28 |
| Street Address |
12746 W JEFFERSON BLVD STE 3160 |
| City | PLAYA VISTA |
| State | CA |
| Zip Code | 90094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134570476 | Mahsa Eghbali | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2016-06-28 |
| 1992154470 | Zheng Li | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094-2885 | 2016-06-06 |
| 1871960708 | Cassandra Wong | Nurse Practitioner | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2015-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225408586 | Merle Morgan | Acupuncturist | 12871 W. Runway Rd, Unit 1, Playa Vista, CA 90094 | 2015-09-30 |
| 1619170537 | Ivette Osorio | Speech-Language Pathologist | 13080 Pacific Promenade, #213, Playa Vista, CA 90094 | 2007-06-07 |
| 1033201363 | Nancy Lee Rosser | Psychiatry & Neurology | 200 S. Barrington Ave., 1907, Los Angeles, CA 90094 | 2006-09-28 |
| 1952888596 | Marina Chiropractic Corp. | Chiropractor | 5450 Lincoln Blvd, Los Angeles, CA 90094 | 2018-07-26 |
| 1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
| 1689612897 | Asongu Josephine Ncho | Internal Medicine | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 | 2006-06-02 |
| 1104430669 | Pacific Medical Group | Surgery | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-09-02 |
| 1437784873 | Yeranui Stepanyan | Nurse Practitioner | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-03-05 |
| 1972025948 | Silicon Beach Surgery Center Inc | Clinic/Center | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-07-12 |
| 1366964330 | Silicon Beach Medical Center Inc | Clinic/Center | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 | 2017-07-12 |
| Find all providers in zip 90094 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA VISTA |
| Zip Code | 90094 |
Please comment or provide details below to improve the information on GARFIELD BEACH CVS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.