GARFIELD BEACH CVS LLC (NPI# 1174545966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174545966 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16064 |
| Practice Address |
2191 N Tustin St Orange CA 92865-3701 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7142834704 |
| Practice Fax Number | 7149232516 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-06-01 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54198 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1995980 | 01 | |
| CA | 1174545966 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16064 | 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 |
2191 N TUSTIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92865-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396031159 | Nga Tu Tran | Pharmacist | 2191 N Tustin St, Orange, CA 92865-3701 | 2011-06-21 |
| 1134414097 | Stephanie Sumiko Takenaka | Pharmacist | 2191 N Tustin St, T0230, Orange, CA 92865-3701 | 2011-06-17 |
| 1932494556 | Transon Nguyen | Pharmacist | 2191 N Tustin St, Orange, CA 92865-3701 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
| 1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
| 1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
| 1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
| 1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
| 1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
| 1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
| 1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
| Find all providers in zip 92865 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891146791 | Orange Markets LLC | Pharmacy | 259 Bull Hill Ln, Orange, CT 06477-3212 | 2016-06-22 |
| 1164812327 | K & T Pharmacy Inc | Pharmacy | 3116 E Chapman Ave, Orange, CA 92869-3708 | 2015-01-27 |
| 1023439957 | Abc Medicine Inc | Pharmacy | 7626 E Chapman Ave Ste C, Orange, CA 92869-8532 | 2013-12-19 |
| 1528128758 | Cannon Drugs | Pharmacy | 1233 N Tustin Ave, Orange, CA 92867-5147 | 2006-12-11 |
| 1326111840 | Kroger Texas L P | Pharmacy | 1600 N 16th St, Orange, TX 77630-3616 | 2006-11-15 |
| 1629167275 | Big A Drug Store Inc | Pharmacy | 1538 E Chapman Ave, Orange, CA 92866-2231 | 2006-10-12 |
| 1083726079 | Watson Drug Inc | Pharmacy | 116 E Chapman Ave, Orange, CA 92866-1402 | 2006-08-31 |
| 1407961436 | Magdi F Haroun | Pharmacy | 705 W La Veta Ave Ste 110a, Orange, CA 92868-4447 | 2006-08-20 |
| 1316958903 | Orange Pharmacy LLC | Pharmacy | 1301 W Park Ave, Orange, TX 77630-4923 | 2006-08-10 |
| 1861434649 | Txrx Pharmacy | Pharmacy | 2 Putnam Ave, Orange, TX 77630-2328 | 2006-06-13 |
| Find all providers in ORANGE | ||||
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| 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.