GARFIELD BEACH CVS LLC (NPI# 1578839791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578839791 |
Entity Type | Organization |
Organization Name | GARFIELD BEACH CVS LLC |
Other Organization Name | CVS PHARMACY #10074 |
Practice Address |
5995 E Kings Canyon Rd Fresno CA 93727 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 5592521124 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2012-04-02 |
Last Update Date | 2013-01-17 |
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 | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 5643336 | 01 | |
CA | 1578839791 | 05 |
Other Name | Type Code |
---|---|
CVS Pharmacy #10074 | 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 |
5995 E KINGS CANYON RD |
City | FRESNO |
State | CA |
Zip Code | 93727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073125803 | Thor Bagge Enggaard | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2020-08-21 |
1679136352 | Jeremy Garcia | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2019-04-17 |
1447716584 | Narine Arakelyan | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2019-02-13 |
1417481482 | Bryan Lian | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2017-04-17 |
1497128250 | Gregory Inouye | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2015-11-02 |
1316287337 | Sami I Mitri | Pharmacist | 5995 E Kings Canyon Rd, Fresno, CA 93727-5594 | 2013-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
1245478494 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 5180 E Kings Canyon Rd, Fresno, CA 93727 | 2009-01-27 |
Find all providers in zip 93727 |
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 |
---|---|---|---|---|
1316575467 | Pharmedquest Pharmacy Services | Pharmacy | 2740 S Elm Ave Rm 2, Fresno, CA 93706-5435 | 2020-04-01 |
1285151324 | Family First Pharmacy Inc | Pharmacy | 4859 E King Cyn Rd, Fresno, CA 93727-3811 | 2017-08-29 |
1427300664 | Chestnut Pharmacy | Pharmacy | 7075 N Chestnut Ave Ste 104, Fresno, CA 93720-0356 | 2012-10-12 |
1457600215 | Kan Pharmacy Inc | Pharmacy | 302 E Bullard Ave, Fresno, CA 93710-5299 | 2012-09-07 |
1881989564 | Elite Rx Inc | Pharmacy | 2608 E Ashlan Ave, Fresno, CA 93726-3207 | 2011-06-10 |
1639253800 | Cynthia H Vu | Pharmacy | 2045 N Fresno St, Fresno, CA 93703-2232 | 2006-10-24 |
1891884441 | Big A Drug Stores Inc | Pharmacy | 1233 N Van Ness Ave, Fresno, CA 93728-1935 | 2006-10-12 |
1144325556 | Byram Healthcare Centers, Inc | Pharmacy | 3131 S Willow Ave, Ste 103, Fresno, CA 93725-9349 | 2006-09-13 |
1427160340 | Peter Kwok-jeff Lum Partnership | Pharmacy | 219 E Olive Ave, Fresno, CA 93728-3129 | 2006-08-31 |
1962514885 | Peter Kwok | Pharmacy | 4845 E Butler Ave, Fresno, CA 93727-5015 | 2006-08-31 |
Find all providers in FRESNO |
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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.