GARFIELD BEACH CVS LLC


Address: 1771 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-8720
Phone: 9167722212

GARFIELD BEACH CVS LLC (NPI# 1902104722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902104722
Entity Type Organization
Organization Name GARFIELD BEACH CVS LLC
Other Organization Name CVS PHARMACY #05091
Practice Address 1771 Pleasant Grove Blvd
Suite 100
Roseville
CA 95747-8720
Mailing Address 1 Cvs Dr
Box 1075 - Pharmacy Enrollments
Woonsocket
RI 02895-6146
Practice Telephone 9167722212
Mailing Telephone 4017651500
Enumeration Date 2011-03-02
Last Update Date 2013-01-23
Authorized Official Name SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 5640354 01
MEDICARE - RR PIN P00754218 01
CA 1902104722 05

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #05091 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1771 PLEASANT GROVE BLVD
SUITE 100
City ROSEVILLE
State CA
Zip Code 95747-8720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366007247 Jasmeen Kaur Rana Pharmacist 1771 Pleasant Grove Blvd, Roseville, CA 95747-8720 2019-05-06
1871966341 Maria Theresa Dimen Pharmacist 1771 Pleasant Grove Blvd, Roseville, CA 95747-8720 2015-11-05
1639599129 Henry Vong Prof Dental Corp Clinic/Center 1771 Pleasant Grove Blvd, Ste 180, Roseville, CA 95747-8720 2014-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215407051 Clifford Leo Faubert Nurse Practitioner 1937 Ellesmere Loop, Roseville, CA 95747 2018-12-04
1821577172 Adam Botwinik Psychologist 8849 Cook Riolo Road, Roseville, CA 95747 2018-08-08
1093231201 Heather Mairi Ybarra Behavior Technician 4216 Wyman Way, Roseville, CA 95747 2017-08-18
1881114650 Bridget Bell Behavior Technician 8202 Tail Race Dr, Roseville, CA 95747 2017-06-22
1760911192 Laura Marie Hummel Massage Therapist 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 2017-06-08
1184975625 Whitney Anne Wright Marriage & Family Therapist 7517 Locomotive Ln, Roseville, CA 95747 2012-09-24
1962764290 Panumas Soukaroon Physical Medicine & Rehabilitation Glenwood Springs Way, Roseville, CA 95747 2012-06-12
1134487366 Tatyana Serikov Dental Hygienist 616 Treviso Ct, Roseville, CA 95747 2012-04-25
1720352099 Peggy Holcomb Clinical Neuropsychologist 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 2012-03-02
1740577220 Laina Marie Haider Occupational Therapist 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 2011-07-05
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1568735991 Kaiser Foundation Health Plan Inc Pharmacy 1600 Eureka Rd Bldg 1, Roseville, CA 95661-3027 2012-02-15
1164659355 Kaiser Foundation Health Plan Inc Pharmacy 1600 Eureka Rd Bldg 2, Roseville, CA 95661-3027 2009-06-16
1225103807 Priceless Drug Store Pharmacy 446 Roseville Sq, Roseville, CA 95678-2808 2006-11-21
1992815591 Costco Wholesale Corporation Pharmacy 6750 Stanford Ranch Rd, Roseville, CA 95678 2006-08-30
1720003387 Bormans Inc Pharmacy 30851 Gratiot Ave, Roseville, MI 48066-1769 2006-07-13
1750312740 Kmart of Michigan Inc Pharmacy 17580 Frazho Rd, Roseville, MI 48066-3829 2006-07-06
1417990284 Longs Drug Stores California Inc Pharmacy 900 Sunrise Ave, Roseville, CA 95661-4507 2006-06-13
1215974647 Lucky Stores II LLC Pharmacy 5060 Foothills Blvd, Roseville, CA 95747-6500 2006-06-02
1295341162 Central Rx LLC Pharmacy 20733 E 13 Mile Rd, Roseville, MI 48066-4503 2020-09-16
Find all providers in ROSEVILLE

Competitor

Search similar providers

City ROSEVILLE
Zip Code 95747

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Dataset Information

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.

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