GARFIELD BEACH CVS LLC (NPI# 1841231750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841231750 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY 08862 |
| Practice Address |
12031 Brookhurst St Garden Grove CA 92840-2814 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7145305280 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5620100 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 08862 | 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 |
12031 BROOKHURST ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495435 | Anna Hong Huynh | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2018-01-29 |
| 1275047508 | Hammoodi Hammoodi | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2017-11-22 |
| 1982116745 | Van Nguyen | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2017-11-01 |
| 1629432364 | Ryan Tan Le | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2016-04-08 |
| 1144694936 | Victoria Khanh Thien Nguyen | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2015-11-17 |
| 1992179980 | Todd Takasaki | Pharmacist | 12031 Brookhurst St, Garden Grove, CA 92840-2814 | 2015-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| 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 |
|---|---|---|---|---|
| 1710511985 | Care Fusion Rx, LLC | Pharmacy | 7052 Orangewood Ave # A8, Garden Grove, CA 92841-1419 | 2020-02-26 |
| 1447610191 | Modern Drug Inc | Pharmacy | 10672 Chapman Ave Ste 5, Garden Grove, CA 92840-3103 | 2016-02-23 |
| 1689082133 | Le & Nguyen Pacific Pharmacy | Pharmacy | 10515 Mcfadden Ave Ste 104, Garden Grove, CA 92843-5301 | 2014-07-29 |
| 1588944789 | Advanced Healthcare Pharmacy Inc | Pharmacy | 13129 Brookhurst St, Garden Grove, CA 92843-1079 | 2011-08-19 |
| 1215020649 | Kaju Pharmacy Inc | Pharmacy | 8887 Garden Grove Blvd, Garden Grove, CA 92844-1249 | 2006-09-30 |
| 1316053085 | Tran Pharmacy Inc | Pharmacy | 14291 Euclid St, Ste D104, Garden Grove, CA 92843-4980 | 2006-08-22 |
| 1720046709 | Senior Care Pharmacy Services Inc | Pharmacy | 12600 Hoover St, Garden Grove, CA 92841-4100 | 2006-05-01 |
| 1467434845 | Lien Thi Khong | Pharmacy | 10402 Westminster Ave, Ste C, Garden Grove, CA 92843-4861 | 2005-11-18 |
| 1902895766 | Pns Pharma Inc | Pharmacy | 14384 Brookhurst St, Garden Grove, CA 92843-4608 | 2005-10-14 |
| 1326032517 | Gisele Nguyen Inc | Pharmacy | 10212 Westminster Ave, Ste 109, Garden Grove, CA 92843 | 2005-09-02 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on GARFIELD BEACH CVS LLC.
| 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.