GARFIELD BEACH CVS LLC (NPI# 1770527020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770527020 |
Entity Type | Organization |
Organization Name | GARFIELD BEACH CVS LLC |
Other Organization Name | CVS PHARMACY #09524 |
Practice Address |
3350 Palm Ave San Diego CA 92154-1662 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 6194247030 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2011-08-23 |
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 |
---|---|---|---|
MEDICARE RR | P00754192 | 01 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 5621873 | 01 | |
CA | 1770527020 | 05 |
Other Name | Type Code |
---|---|
CVS PHARMACY #09524 | 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 |
3350 PALM AVE |
City | SAN DIEGO |
State | CA |
Zip Code | 92154-1662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124666532 | Michelle L Townsend | Pharmacist | 3350 Palm Ave, San Diego, CA 92154-1662 | 2019-12-16 |
1609419662 | Anna Walker | Pharmacist | 3350 Palm Ave, San Diego, CA 92154-1662 | 2019-10-22 |
1770012577 | Natalie Tran Nguyen | Pharmacist | 3350 Palm Ave, San Diego, CA 92154 | 2017-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
Find all providers in zip 92154 |
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] |
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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 |
1720607112 | Kaiser Foundation Health Plan Inc | Pharmacy | 6911 Convoy Ct Fl 1 Rm 1501, San Diego, CA 92111-1014 | 2020-04-15 |
1275169005 | Corrections and Rehabilitation | Pharmacy | 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 | 2020-03-12 |
1942772272 | Rising Star Holdings LLC | Pharmacy | 500 S Dr Ee Dunlap Hwy Ste C, San Diego, TX 78384-3415 | 2018-12-27 |
1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
1912362377 | Dt Pharmacy Corporation | Pharmacy | 5507 El Cajon Blvd # E, San Diego, CA 92115-3624 | 2015-12-29 |
1649600487 | Aids Healthcare Foundation | Pharmacy | 3940 Fourth Avenue, Suite 150, San Diego, CA 92103-7193 | 2013-11-14 |
1144574260 | Medpilot Pharmacy Inc. | Pharmacy | 9323 Chesapeake Dr, Suite #c1, San Diego, CA 92123-1044 | 2012-10-29 |
Find all providers in SAN DIEGO |
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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.