GARFIELD BEACH CVS LLC (NPI# 1962957514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962957514 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #10919 |
| Practice Address |
9665 Campo Rd Spring Valley CA 91977-1228 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6194664051 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-06-14 |
| 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1962957514 | 05 | |
| NCPDP | 5660786 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10919 | 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 |
9665 CAMPO RD |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112908 | Sephora Mferri Aplogan | Pharmacist | 9665 Campo Rd, Spring Valley, CA 91977-1228 | 2020-01-03 |
| 1790296598 | Haley Braga | Pharmacist | 9665 Campo Rd, Spring Valley, CA 91977-1228 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| 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 |
|---|---|---|---|---|
| 1881233187 | Broadway Pharmacy Corporation | Pharmacy | 10225 Austin Dr Ste 103, Spring Valley, CA 91978-1521 | 2020-01-03 |
| 1841342193 | Mcbe Company | Pharmacy | 503 N Park Dr, Spring Valley, MN 55975-1035 | 2007-01-17 |
| 1114081973 | Thompson Drug Company | Pharmacy | 130 East St Paul Street, Spring Valley, IL 61362-2099 | 2006-12-19 |
| 1801817853 | Hillcrest Pharmacy LLC | Pharmacy | 1 Hillcrest Ctr, Ste 110, Spring Valley, NY 10977-3740 | 2006-07-22 |
| 1093239337 | Medwiz Pharmacy LLC | Pharmacy | 240 N Main St, Spring Valley, NY 10977-4020 | 2017-07-28 |
| 1649531963 | Eckerson Drugs Inc | Pharmacy | 287 N Main St, Spring Valley, NY 10977-2914 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 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 | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
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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.