GARFIELD BEACH CVS LLC (NPI# 1902828510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902828510 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16982 |
| Practice Address |
10424 Trinity Pkwy Stockton CA 95219-7225 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2092350252 |
| Practice Fax Number | 2092350252 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
PHY54030 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112662 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16982 | 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 |
10424 TRINITY PKWY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262564 | Joseph Bui | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2018-10-31 |
| 1194203844 | Samantha Yoo | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2018-08-03 |
| 1619486487 | Kevin Molina Cameros | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2017-09-25 |
| 1578099529 | Lauren Lynn Lawson | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2017-05-11 |
| 1215350996 | Sohaila Faizyar | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2014-01-30 |
| 1760819940 | Jennifer Elizabeth Lower | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2013-10-02 |
| 1063798650 | Robert Yam | Pharmacist | 10424 Trinity Pkwy, Target Pharmacy Store Number (t-1862), Stockton, CA 95219-7225 | 2011-10-26 |
| 1548558364 | Hanh Pham | Pharmacist | 10424 Trinity Pkwy, T-1862, Stockton, CA 95219-7225 | 2011-07-13 |
| 1306131297 | Evelyn Valdez | Pharmacist | 10424 Trinity Pkwy, Stockton, CA 95219-7225 | 2011-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| 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 |
|---|---|---|---|---|
| 1548893779 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Stockton, CA 95215-8312 | 2020-02-17 |
| 1326186180 | Bluepoint Pharmacy Inc | Pharmacy | 7743 Nest Lane, B3, Stockton, CA 95210 | 2007-02-02 |
| 1114078110 | Parkwoods Drug | Pharmacy | 104 Lincoln Ctr, Stockton, CA 95207 | 2007-01-16 |
| 1457409062 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 3, Stockton, CA 95210-3377 | 2007-01-08 |
| 1568527984 | Day and Night Drug Store Inc | Pharmacy | 134 E Weber Ave, Stockton, CA 95202-2705 | 2006-12-26 |
| 1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
| 1013078187 | Charter Way Pharmacy | Pharmacy | 201 W Charter Wy, Stockton, CA 95206 | 2006-12-13 |
| 1063591733 | Carepoint Pharmacy Inc | Pharmacy | 73 W March Ln Ste D, Stockton, CA 95207-5726 | 2006-11-03 |
| 1821170366 | Care Rx LLC | Pharmacy | 7720 Lorraine Ave, Stockton, CA 95210-4203 | 2006-10-20 |
| 1265548119 | Green Brothers Pharmacy Inc | Pharmacy | 1610 N El Dorado St Ste 1, Stockton, CA 95204-5930 | 2006-08-22 |
| Find all providers in STOCKTON | ||||
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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.