GARFIELD BEACH CVS LLC (NPI# 1154363679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154363679 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #09611 |
| Practice Address |
19424 Soledad Canyon Rd Canyon Country CA 91351-2631 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6612515444 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-08-25 |
| 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 |
|---|---|---|---|
| MEDICARE RR | P00754192 | 01 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5620732 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09611 | 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 |
19424 SOLEDAD CANYON RD |
| City | CANYON COUNTRY |
| State | CA |
| Zip Code | 91351-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109389 | Trung Nguyen | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-05-15 |
| 1477116903 | Jordan Wing Lee | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-19 |
| 1306409081 | Chioma Ojukwu | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-17 |
| 1366005266 | Nuttachai Thanaethanapong | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679222 | Saint Lazarus Home Health Inc. | Home Health | 17722 Sierra Highway, Santa Clarita, CA 91351 | 2020-08-14 |
| 1558608398 | Bernadette Medina | Specialist/Technologist | 19040 Soledad Canyon Rd., # 210, Santa Clarita, CA 91351 | 2013-01-14 |
| 1164776068 | Fabricio Mundo | Interpreter | 19887 Northcliff Dr, Canyon Country, CA 91351 | 2012-10-31 |
| 1124384730 | Noosha Daha | Marriage & Family Therapist | 2714 Hidaway Ave, Santa Clarita, CA 91351 | 2012-04-09 |
| 1083906937 | Carla's Counseling,life Coaching, and Classes | Community/Behavioral Health | 19040 Soledad Canyon Road, Suite B, Santa Clarita, CA 91351 | 2011-05-11 |
| 1629289012 | Ronald Eugene Semelsberger | Dentist | 27552 Sierra Highway, Canyon Country, CA 91351 | 2007-05-25 |
| 1750898177 | Family Model Behavior Therapy, LLC | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351 | 2018-01-08 |
| 1780975755 | Westcoastdental | Clinic/Center | 15350 Nordhoff Street, Suite A, North Hills, CA 91351 | 2011-04-26 |
| 1346373784 | Anna Liberman Dds Inc | Health Maintenance Organization | 18507 Soledad Canyon Rd, Canyon Country, CA 91351 | 2007-03-14 |
| 1538214358 | Carolina Escaro Villate Mendoza | Dentist | 27225 Camp Plenty Rd, Suite 9, Canyon Country, CA 91351 | 2007-01-24 |
| Find all providers in zip 91351 | ||||
| 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 |
|---|---|---|---|---|
| 1114973773 | Albertsons LLC | Pharmacy | 18571 Soledad Cyn, Canyon Country, CA 91351-3700 | 2006-05-25 |
| 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 | ||||
| City | CANYON COUNTRY |
| Zip Code | 91351 |
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.