GARFIELD BEACH CVS LLC (NPI# 1437171048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437171048 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16274 |
| Practice Address |
3000 Harbison Dr Vacaville CA 95687-3909 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7074528119 |
| Practice Fax Number | 7073014351 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-08 |
| 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 |
PHY54044 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112756 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16274 | 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 |
3000 HARBISON DR |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770069320 | Kevin She | Pharmacist | 3000 Harbison Dr, Vacaville, CA 95687-3909 | 2018-07-17 |
| 1568827368 | Satyajit Vilas Erram | Pharmacist | 3000 Harbison Dr, Vacaville, CA 95687-3909 | 2015-12-21 |
| 1851722391 | Jessie Myungah Park | Pharmacist | 3000 Harbison Dr, T0827, Vacaville, CA 95687-3909 | 2013-12-10 |
| 1366885949 | Asma Siddique Shaikh | Pharmacist | 3000 Harbison Dr, T-0827, Vacaville, CA 95687-3909 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| 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 |
|---|---|---|---|---|
| 1346477536 | Kaiser Foundation Health Plan Inc | Pharmacy | 1 Quality Dr Fl 4, Specialty Care Bldg, Vacaville, CA 95688-9494 | 2009-06-16 |
| 1144470931 | Consonus Pharmacy Services Ca North LLC | Pharmacy | 2148 Icon Way Ste 100, Vacaville, CA 95688-8803 | 2008-09-29 |
| 1124175443 | Kaiser Foundation Health Plan Inc | Pharmacy | 1 Quality Dr Fl A1, Vacaville, CA 95688-9494 | 2007-01-05 |
| 1336221118 | Nugget Market Pharmacy | Pharmacy | 130 Browns Valley Pkwy, Vacaville, CA 95688-3062 | 2006-10-20 |
| 1124648712 | Corrections and Rehabilitation | Pharmacy | 2100 Peabody Road, Vacaville, CA 95687 | 2020-04-23 |
| 1619502432 | Corrections and Rehabilitation | Pharmacy | 1600 California Drive, Vacaville, CA 95696 | 2020-03-12 |
| 1871727891 | Kaiser Foundation Hospitals | Pharmacy | 1 Quality Dr, Vacaville, CA 95688-9494 | 2009-05-05 |
| 1477590131 | Albertsons LLC | Pharmacy | 777 E Monte Vista Ave, Vacaville, CA 95688-2920 | 2006-06-01 |
| 1104863877 | Albertsons LLC | Pharmacy | 1979 Peabody Rd, Vacaville, CA 95687-6288 | 2006-06-01 |
| 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 | ||||
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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.