GARFIELD BEACH CVS LLC (NPI# 1255353868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255353868 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16293 |
| Practice Address |
475 Rohnert Park Expy W Rohnert Park CA 94928-7907 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7075852420 |
| Practice Fax Number | 7075965303 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-29 |
| 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 |
PHY54009 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112930 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16293 | 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 |
475 ROHNERT PARK EXPY W |
| City | ROHNERT PARK |
| State | CA |
| Zip Code | 94928-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705256 | Andrew Jeung Yoo | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2019-11-19 |
| 1710534631 | Joseph Jackan | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2019-08-26 |
| 1184115081 | Chau Nhut Tran | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2018-05-25 |
| 1083130918 | Danial Iftikhar Husain | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2017-08-22 |
| 1801321385 | Alan Do | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2017-04-21 |
| 1639500713 | Jody Okafor | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2013-11-27 |
| 1073850699 | Grace Loyola | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7965 | 2013-01-16 |
| 1255627808 | Shannon Baine | Pharmacist | 475 Rohnert Park Expy W, T-0852, Rohnert Park, CA 94928-7907 | 2011-06-22 |
| 1952696833 | Julie Ann Days | Pharmacist | 475 Rohnert Park Expy W, Target Pharmacy Store # T0852, Rohnert Park, CA 94928-7907 | 2011-06-18 |
| 1336246776 | Target Store #t-0852 | Pharmacist | 475 Rohnert Park Expy W, Rohnert Park, CA 94928-7907 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
| 1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
| 1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
| 1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
| 1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
| 1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
| 1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
| 1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
| Find all providers in zip 94928 | ||||
| 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 |
|---|---|---|---|---|
| 1598032278 | Redwood Compounding Pharmacy Inc | Pharmacy | 600 Martin Ave, Ste 125, Rohnert Park, CA 94928-7919 | 2011-11-22 |
| 1437206760 | Kaiser Foundation Health Plan Inc | Pharmacy | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 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 | ROHNERT PARK |
| Zip Code | 94928 |
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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.