GARFIELD BEACH CVS, L.L.C. (NPI# 1245478494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245478494 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY # 05422 |
| Practice Address |
5180 E Kings Canyon Rd Fresno CA 93727 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2012-03-14 |
| 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 | 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 | 1245478494 | 05 | |
| NCPDP | 5633436 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 05422 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989820 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 701 Van Ness Ave, San Francisco, CA 94102-3229 | 2018-10-30 |
| 1023597374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Town Center Dr, La Canada Flintridge, CA 91011-1638 | 2018-08-08 |
| 1457837304 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3029 University Ave, San Diego, CA 92104-3036 | 2018-07-13 |
| 1699292425 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2620 E Chapman Ave, Orange, CA 92869-3207 | 2017-08-23 |
| 1700302361 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1414 University Ave, Berkeley, CA 94702-1548 | 2017-08-16 |
| 1891066775 | Garfield Beach Cvs, L.L.C. | Pharmacy | 317 Lake Blvd, Ste B, Redding, CA 96003-2504 | 2012-01-24 |
| 1750684205 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 23743 Jackson Ave, Murrieta, CA 92562-1988 | 2010-12-06 |
| 1952603763 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 731 Market St, San Francisco, CA 94103-2002 | 2010-11-30 |
| 1740598689 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14426 Palmdale Rd, Victorville, CA 92392 | 2010-09-14 |
| 1629399498 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Katella Ave, Los Alamitos, CA 90720-2353 | 2010-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Garfield Beach CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | GARFIELD BEACH CVS, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Oregon Corporations, Companies and Business Names | GARFIELD BEACH CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | GARFIELD BEACH CVS, L.L.C. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Connecticut Business Registrations | GARFIELD BEACH CVS, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
5180 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262859 | Ivan Kostrikin | Pharmacist | 5180 E Kings Canyon Rd, Fresno, CA 93727-3971 | 2019-12-12 |
| 1316503964 | Patricia Ellen Hill | Pharmacist | 5180 E Kings Canyon Rd, Fresno, CA 93727-3971 | 2019-05-18 |
| 1932673639 | Trebor Brown | Pharmacist | 5180 E Kings Canyon Rd, Fresno, CA 93727-3971 | 2019-01-15 |
| 1114401163 | Reginald Magtira Ramirez | Pharmacist | 5180 E Kings Canyon Rd, Fresno, CA 93727-3971 | 2018-09-15 |
| 1942621495 | Shan Wu | Pharmacist | 5180 E Kings Canyon Rd, Fresno, CA 93727-3971 | 2014-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| 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 |
|---|---|---|---|---|
| 1316575467 | Pharmedquest Pharmacy Services | Pharmacy | 2740 S Elm Ave Rm 2, Fresno, CA 93706-5435 | 2020-04-01 |
| 1285151324 | Family First Pharmacy Inc | Pharmacy | 4859 E King Cyn Rd, Fresno, CA 93727-3811 | 2017-08-29 |
| 1427300664 | Chestnut Pharmacy | Pharmacy | 7075 N Chestnut Ave Ste 104, Fresno, CA 93720-0356 | 2012-10-12 |
| 1457600215 | Kan Pharmacy Inc | Pharmacy | 302 E Bullard Ave, Fresno, CA 93710-5299 | 2012-09-07 |
| 1881989564 | Elite Rx Inc | Pharmacy | 2608 E Ashlan Ave, Fresno, CA 93726-3207 | 2011-06-10 |
| 1639253800 | Cynthia H Vu | Pharmacy | 2045 N Fresno St, Fresno, CA 93703-2232 | 2006-10-24 |
| 1891884441 | Big A Drug Stores Inc | Pharmacy | 1233 N Van Ness Ave, Fresno, CA 93728-1935 | 2006-10-12 |
| 1144325556 | Byram Healthcare Centers, Inc | Pharmacy | 3131 S Willow Ave, Ste 103, Fresno, CA 93725-9349 | 2006-09-13 |
| 1427160340 | Peter Kwok-jeff Lum Partnership | Pharmacy | 219 E Olive Ave, Fresno, CA 93728-3129 | 2006-08-31 |
| 1962514885 | Peter Kwok | Pharmacy | 4845 E Butler Ave, Fresno, CA 93727-5015 | 2006-08-31 |
| Find all providers in FRESNO | ||||
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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.