GARFIELD BEACH CVS LLC (NPI# 1902989536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989536 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #17265 |
| Practice Address |
19661 Hesperian Blvd Hayward CA 94541-4200 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5107310002 |
| Practice Fax Number | 5107310002 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-10-24 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54141 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2115219 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17265 | 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 |
19661 HESPERIAN BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720517717 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2017-06-05 |
| 1295269462 | Venus Amara Krogsrud | Pharmacist | 19661 Hesperian Blvd, Hayward, CA 94541 | 2017-04-14 |
| 1922472372 | Mimi Um | Pharmacist | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2015-11-23 |
| 1033474754 | Khoi Lam | Pharmacist | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2012-07-09 |
| 1497028856 | Shari Ann Joseph | Pharmacist | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2012-02-15 |
| 1588936736 | Rashmi Shingari | Pharmacist | 19661 Hesperian Blvd, 2185, Hayward, CA 94541-4200 | 2012-02-03 |
| 1114203544 | Jennifer S Le | Pharmacist | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| 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 |
|---|---|---|---|---|
| 1336331677 | Snp Pharmacy LLC | Pharmacy | 21150 Cabot Blvd, Hayward, CA 94545-1130 | 2007-08-10 |
| 1659382240 | Ama Pharmacy Inc | Pharmacy | 27453 Hesperian Blvd, Hayward, CA 94545-4258 | 2006-08-10 |
| 1922044411 | Northern Lakes Cooperative | Pharmacy | 15846 W Us Highway 63 S, Hayward, WI 54843-7106 | 2006-06-21 |
| 1205873965 | Lucky Stores II LLC | Pharmacy | 25151 Santa Clara St, Hayward, CA 94544-2109 | 2006-06-01 |
| 1225637226 | Steven Charles Robbins | Pharmacy | 15594 State Highway 77, Hayward, WI 54843 | 2020-10-21 |
| 1295182590 | Postmeds Inc | Pharmacy | 3121 Diablo Ave, Hayward, CA 94545-2701 | 2016-05-17 |
| 1518263003 | Ama Pharmacy Inc | Pharmacy | 27453 Hesperian Blvd, Hayward, CA 94545-4258 | 2011-02-01 |
| 1992805949 | California State University East Bay | Pharmacy | 25800 Carlos Bee Blvd, Hayward, CA 94542-3000 | 2006-09-22 |
| 1235172586 | Hayward Area Memorial Hospital | Pharmacy | 11040 N State Road 77, Hayward, WI 54843-6391 | 2006-06-14 |
| 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 | ||||
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.