GARFIELD BEACH CVS LLC (NPI# 1942432679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942432679 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #17602 |
| Practice Address |
11000 Stockdale Hwy Bakersfield CA 93311-3635 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6616173658 |
| Practice Fax Number | 6616173668 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2017-06-01 |
| 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 |
PHY54097 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121420 | 01 | |
| CA | 1942432679 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17602 | 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 |
11000 STOCKDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023469582 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11000 Stockdale Hwy, Bakersfield, CA 93311-3635 | 2016-06-27 |
| 1275909699 | Gizelle Aziz | Pharmacist | 11000 Stockdale Hwy, Bakersfield, CA 93311-3635 | 2015-08-19 |
| 1134522600 | Su Kang | Pharmacist | 11000 Stockdale Hwy, Bakersfield, CA 93311-3635 | 2014-09-29 |
| 1518393289 | Taya Malone | Pharmacist | 11000 Stockdale Hwy, Bakersfield, CA 93311-3635 | 2013-09-25 |
| 1992131205 | Joseph Mishreki | Pharmacist | 11000 Stockdale Hwy, 2715, Bakersfield, CA 93311-3635 | 2013-09-18 |
| 1194070995 | Navi Braich | Pharmacist | 11000 Stockdale Hwy, Bakersfield, CA 93311-3635 | 2012-07-17 |
| 1821367814 | Seo Hyun Hong | Pharmacist | 11000 Stockdale Hwy, T-2715, Bakersfield, CA 93311-3635 | 2011-12-20 |
| 1184911885 | Michelle Renee Church | Pharmacist | 11000 Stockdale Hwy, T2715, Bakersfield, CA 93311-3635 | 2011-07-01 |
| 1578858619 | Hao Truong | Pharmacist | 11000 Stockdale Hwy, T-2715, Bakersfield, CA 93311-3635 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| 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 |
|---|---|---|---|---|
| 1457972754 | Sg Pharma Inc | Pharmacy | 5555 Business Park S Ste 230, Bakersfield, CA 93309-1678 | 2020-04-28 |
| 1649810235 | Pharmedquest Pharmacy Services | Pharmacy | 2000 Physicians Blvd Rm B, Bakersfield, CA 93301-1277 | 2020-01-10 |
| 1912472226 | Badri Inc | Pharmacy | 2019 21st St Ste B, Bakersfield, CA 93301-4219 | 2018-10-12 |
| 1154824514 | Ingram's Pharmacy, LLC | Pharmacy | 1703 27th St, Bakersfield, CA 93301-2807 | 2018-03-13 |
| 1710427125 | Gurkirpa Medical Inc | Pharmacy | 3400 Panama Ln Ste L, Bakersfield, CA 93313-3699 | 2017-03-03 |
| 1114385796 | Ibrahim M Garas | Pharmacy | 309 N Chester Ave, Bakersfield, CA 93308-4441 | 2016-02-10 |
| 1063713600 | Express Drugs | Pharmacy | 9802 Stockdale Hwy Ste 106b, Bakersfield, CA 93311-3653 | 2010-11-13 |
| 1457538381 | Kern Infusion Services Inc | Pharmacy | 4004 Panama Ln, Ste 100, Bakersfield, CA 93313-3769 | 2008-01-22 |
| 1306998653 | Your Drug Store Inc | Pharmacy | 2303 Niles Pt, Bakersfield, CA 93306-4025 | 2007-01-17 |
| 1164570909 | Kaiser Foundation Health Plan Inc | Pharmacy | 1200 Discovery Dr Ste 250, Bakersfield, CA 93309-7076 | 2007-01-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.