GARFIELD BEACH CVS, L.L.C. (NPI# 1265577589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265577589 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #08589 |
| Practice Address |
15286 Summit Ave Fontana CA 92336-0231 |
| Mailing Address |
One Cvs Drive Woonsocket RI 02895 |
| Practice Telephone | 9094639255 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | SUSAN COLBERT (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 | PHY48523 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 5626227 | 01 | |
| CA | 1265577589 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #08589 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989820 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 701 Van Ness Ave, San Francisco, CA 94102-3229 | 2018-10-30 |
| 1023597374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Town Center Dr, La Canada Flintridge, CA 91011-1638 | 2018-08-08 |
| 1457837304 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3029 University Ave, San Diego, CA 92104-3036 | 2018-07-13 |
| 1699292425 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2620 E Chapman Ave, Orange, CA 92869-3207 | 2017-08-23 |
| 1700302361 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1414 University Ave, Berkeley, CA 94702-1548 | 2017-08-16 |
| 1891066775 | Garfield Beach Cvs, L.L.C. | Pharmacy | 317 Lake Blvd, Ste B, Redding, CA 96003-2504 | 2012-01-24 |
| 1750684205 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 23743 Jackson Ave, Murrieta, CA 92562-1988 | 2010-12-06 |
| 1952603763 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 731 Market St, San Francisco, CA 94103-2002 | 2010-11-30 |
| 1740598689 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14426 Palmdale Rd, Victorville, CA 92392 | 2010-09-14 |
| 1629399498 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Katella Ave, Los Alamitos, CA 90720-2353 | 2010-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Garfield Beach CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | GARFIELD BEACH CVS, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Oregon Corporations, Companies and Business Names | GARFIELD BEACH CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | GARFIELD BEACH CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Connecticut Business Registrations | GARFIELD BEACH CVS, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
15286 SUMMIT AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-0231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747742 | Thuy Tran | Pharmacist | 15286 Summit Ave, Fontana, CA 92336-0231 | 2020-07-21 |
| 1053946061 | David Sur | Pharmacist | 15286 Summit Ave, Fontana, CA 92336-0231 | 2020-03-10 |
| 1114373446 | Grace Garcia | Pharmacist | 15286 Summit Ave, Fontana, CA 92336-0231 | 2016-05-05 |
| 1487008470 | Lindsay Testado | Pharmacist | 15286 Summit Ave, Fontana, CA 92336-0231 | 2016-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1801290440 | St Mina Inc | Pharmacy | 16701 Valley Blvd Ste E, Fontana, CA 92335-6696 | 2014-10-10 |
| 1487996195 | Kaiser Foundation Health Plan Inc | Pharmacy | 9961 Sierra Ave Bldg Fl1, Fontana, CA 92335-6720 | 2013-03-20 |
| 1366679557 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Ave Fl Mob24, Fontana, CA 92335-6720 | 2009-06-16 |
| 1588712392 | Kaiser Foundation Health Plan Inc | Pharmacy | 17197 Marygold Ave, Fontana, CA 92335-1705 | 2007-01-08 |
| 1679621288 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Ave Fl, Fontana, CA 92335-6720 | 2007-01-08 |
| 1952459737 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Ave Fl 1, Fontana, CA 92335-6720 | 2007-01-08 |
| 1821146457 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Ave Fl 2, Fontana, CA 92335-6720 | 2007-01-08 |
| 1326132366 | Ftf Pharmacy Corporation | Pharmacy | 17577 Arrow Blvd, Ste 101, Fontana, CA 92335-4011 | 2006-10-03 |
| 1649328451 | Kaiser Foundation Hospitals | Pharmacy | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1518014836 | Kaiser Foundation Hospitals | Pharmacy | 9961 Sierra Ave, Floor 1 Rm 1205, Fontana, CA 92335-6720 | 2007-01-05 |
| Find all providers in FONTANA | ||||
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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.