GARFIELD BEACH CVS LLC (NPI# 1063457869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063457869 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #09803 |
| Practice Address |
491 E Alessandro Blvd Riverside CA 92508-6071 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9517801835 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | SUSAN COLBERT (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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1063457869 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5621671 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09803 | 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 |
491 E ALESSANDRO BLVD |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569906 | Freddy Chung | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2020-08-18 |
| 1780210989 | Lisa Lam | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508 | 2020-03-19 |
| 1255979456 | Ahmad Salam | Pharmacist | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-12-18 |
| 1548826340 | Elizabeth Leigh Pierce | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-05-16 |
| 1851853964 | Agnes Sara Labit Rivera | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-04-05 |
| 1467920934 | Maame Ekua Osei | Registered Nurse | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2018-11-02 |
| 1336616879 | Yvette Ambroze | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2018-11-01 |
| 1952830168 | Jaqueta Antanina Williams | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2017-06-09 |
| 1609326024 | Denise Pettinger | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2016-10-10 |
| 1144674235 | Venkatram Vadlamudi | Pharmacist | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| 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 |
|---|---|---|---|---|
| 1730743386 | Mexicare Pharmacy Inc | Pharmacy | 9670 Magnolia Ave Ste 107, Riverside, CA 92503-3684 | 2019-04-30 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1649637315 | Advance Care Services Inc | Pharmacy | 4990 Arlington Ave Ste A, Riverside, CA 92504-2757 | 2016-01-26 |
| 1407266984 | Kaiser Foundation Health Plan Inc | Pharmacy | 14305 Meridian Pkwy Fl 1, Riverside, CA 92518-3034 | 2014-05-05 |
| 1558795385 | Empire Pharmacy | Pharmacy | 1340 Massachusetts Ave, Riverside, CA 92507-2834 | 2013-08-28 |
| 1598809600 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Pkwy Ste 150, Riverside, MO 64150-1512 | 2007-02-20 |
| 1033267992 | Kaiser Foundation Health Plan Inc | Pharmacy | 10800 Magnolia Ave Fl 1, Riverside, CA 92505-3043 | 2007-01-08 |
| 1942358809 | Kaiser Foundation Health Plan Inc | Pharmacy | 10800 Magnolia Ave Fl 2, Riverside, CA 92505-3043 | 2007-01-08 |
| 1447362439 | Vj Pharmacy Inc | Pharmacy | 6942 Brockton Ave, Riverside, CA 92506-3802 | 2006-08-31 |
| 1962428821 | St Johns Pharmacy Corp | Pharmacy | 10181 Hole Ave, Riverside, CA 92503-3441 | 2006-07-14 |
| Find all providers in RIVERSIDE | ||||
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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.