GARFIELD BEACH CVS LLC (NPI# 1215187521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215187521 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16504 |
| Practice Address |
2911 Jamacha Rd El Cajon CA 92019-4342 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6193150016 |
| Practice Fax Number | 6194035248 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2017-05-03 |
| 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 |
PHY54059 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2117126 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16504 | 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 |
2911 JAMACHA RD |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161935 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2020-07-10 |
| 1891316311 | Alla Fridman Young O.d. Inc. | Optometrist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2020-05-06 |
| 1295374544 | Salina Maykl Allos | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2020-01-03 |
| 1124594528 | Danielle Haskins | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2018-10-23 |
| 1750767539 | Nathan Ramsey | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2015-08-04 |
| 1992133581 | Lisa Tran | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2013-10-17 |
| 1326319039 | Justin Keith Constantino | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2012-01-26 |
| 1124315007 | Bonnie Yvonne Holden | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2011-06-29 |
| 1013203918 | Claire Huynh | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2011-06-20 |
| 1629370689 | Thomas Graf | Pharmacist | 2911 Jamacha Rd, El Cajon, CA 92019-4342 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| 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 |
|---|---|---|---|---|
| 1821615501 | Shahad Alsheikh | Pharmacy | 3019 Jamacha View Dr, El Cajon, CA 92019-5137 | 2020-06-29 |
| 1124560941 | Dmmjr Inc | Pharmacy | 8575 Los Coches Rd Ste 5, El Cajon, CA 92021-8844 | 2016-11-10 |
| 1902104367 | Double Star Pharmacy Inc | Pharmacy | 330 S Magnolia Ave Ste 102, El Cajon, CA 92020-5221 | 2011-03-09 |
| 1447584297 | Neighborhood Healthcare | Pharmacy | 855 E Madison Ave # 101, El Cajon, CA 92020-3819 | 2009-09-28 |
| 1164553053 | Sycuan Tribal Government | Pharmacy | 5442 Dehesa Rd, El Cajon, CA 92019-1816 | 2007-03-09 |
| 1245376862 | Asmar D Asmar | Pharmacy | 436 S Magnolia Ave Ste 102, El Cajon, CA 92020-5219 | 2007-01-30 |
| 1811918881 | M and M Pharmacies Inc | Pharmacy | 248 Avocado Ave, El Cajon, CA 92020-4604 | 2006-07-22 |
| 1588607337 | Longs Drug Stores California LLC | Pharmacy | 790 Jamacha Rd, El Cajon, CA 92019-3201 | 2006-06-13 |
| 1235628728 | Ronald Selness | Pharmacy | 5442 Sycuan Rd, El Cajon, CA 92019-1816 | 2018-05-09 |
| 1922595552 | Talami International Inc | Pharmacy | 505 N Mollison Ave Ste 102, El Cajon, CA 92021-6159 | 2018-04-19 |
| Find all providers in EL CAJON | ||||
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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.