GARFIELD BEACH CVS LLC (NPI# 1508916859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508916859 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #17320 |
| Practice Address |
4200 E 4th St Ontario CA 91764-5250 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9095793041 |
| Practice Fax Number | 9092853089 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-11-09 |
| 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 |
PHY54139 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2111960 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17320 | 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 |
4200 E 4TH ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591128 | Dr. Judith Lee Optometry, Inc | Optometrist | 4200 E 4th St, Ontario, CA 91764-5250 | 2017-07-17 |
| 1538519780 | Allan Manio | Pharmacist | 4200 E 4th St, Ontario, CA 91764-5250 | 2016-06-20 |
| 1083098594 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4200 E 4th St, Ontario, CA 91764-5250 | 2015-07-14 |
| 1417336082 | Cindy Chang Od Inc | Optometrist | 4200 E 4th St, Ontario, CA 91764-5250 | 2015-05-28 |
| 1942615448 | Judith Lee | Optometrist | 4200 E 4th St, Ontario, CA 91764-5250 | 2014-06-24 |
| 1679868574 | Joanne Kuo | Pharmacist | 4200 E 4th St, Ontario, CA 91764-5250 | 2011-06-20 |
| 1457645640 | Cherin Watanabe | Pharmacist | 4200 E 4th St, Ontario, CA 91764-5250 | 2011-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| 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 |
|---|---|---|---|---|
| 1952815409 | Cal2000 Pharmacy Inc | Pharmacy | 326 E Holt Blvd Ste E, Ontario, CA 91761-1635 | 2017-11-20 |
| 1790202323 | Genoa Healthcare, LLC | Pharmacy | 702 Sunset Dr Ste P1, Ontario, OR 97914-3121 | 2017-08-24 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1053555037 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Ste B, Ontario, CA 91761-7927 | 2009-04-22 |
| 1841471190 | Tops Markets LLC | Pharmacy | 6272 Furnace Rd, Ontario, NY 14519-8974 | 2007-11-15 |
| 1245387570 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave Fl 1, Ontario, CA 91761-7925 | 2007-01-05 |
| 1023053030 | Discount Drug Mart Inc | Pharmacy | 25 Briggs Dr, Ontario, OH 44906-3805 | 2006-06-17 |
| 1699730291 | Alliance Medical Equipment & Resp. Pharmacy, Inc | Pharmacy | 3100 E Cedar St, Suite 13, Ontario, CA 91761-7693 | 2006-04-18 |
| 1457720047 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave, Bldg A Bsmt Rm 03r16, Ontario, CA 91761-7922 | 2015-09-24 |
| 1386933885 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave Bldg D, Floor 1, Ontario, CA 91761-7925 | 2011-04-05 |
| Find all providers in ONTARIO | ||||
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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.