GARFIELD BEACH CVS, L.L.C. (NPI# 1629399498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629399498 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #04043 |
| Practice Address |
3401 Katella Ave Los Alamitos CA 90720-2353 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5624302026 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2011-01-20 |
| 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 | PHY50357 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1629399498 | 05 | |
| NCPDP | 5638133 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04043 | 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 |
| 1245556281 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14967 W. Whitesbridge Ave, Kerman, CA 93630 | 2010-04-15 |
| 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 |
3401 KATELLA AVE |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187355 | Phuonghong Thi Nguyen | Pharmacist | 3401 Katella Ave, Los Alamitos, CA 90720-2338 | 2019-04-23 |
| 1053776898 | Kim Thien Nguyen | Pharmacist | 3401 Katella Ave, Los Alamitos, CA 90720-2338 | 2015-12-21 |
| 1386950608 | Sevin Ataie | Pharmacist | 3401 Katella Ave, Los Alamitos, CA 90720-2353 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| 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 |
|---|---|---|---|---|
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1902128911 | Custom Compounding Centers LLC | Pharmacy | 10525 Humbolt St, Los Alamitos, CA 90720-5401 | 2010-02-17 |
| 1275735565 | Franmar Partnership Inc | Pharmacy | 10879 Los Alamitos Blvd, Los Alamitos, CA 90720-2329 | 2007-05-31 |
| 1124111562 | Garlo Corp | Pharmacy | 11270 Los Alamitos Blvd, Los Alamitos, CA 90720-3958 | 2006-09-30 |
| 1992161137 | Seaview Enterprises LLC | Pharmacy | 10525 Humbolt St, Los Alamitos, CA 90720-5401 | 2016-01-04 |
| 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 | LOS ALAMITOS |
| Zip Code | 90720 |
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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.