GARFIELD BEACH CVS LLC (NPI# 1295182061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295182061 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #10918 |
| Practice Address |
632 Lindero Canyon Rd Oak Park CA 91377-5457 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8188891243 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-04-27 |
| 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 | 1295182061 | 05 | |
| NCPDP | 5660027 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10918 | 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 |
632 LINDERO CANYON RD |
| City | OAK PARK |
| State | CA |
| Zip Code | 91377-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035119 | Pontea Shabkhiz | Pharmacist | 632 Lindero Canyon Rd, Oak Park, CA 91377-5457 | 2019-04-19 |
| 1104340660 | Alice Kate Geisman | Pharmacist | 632 Lindero Canyon Rd, Oak Park, CA 91377-5457 | 2017-07-26 |
| 1184159931 | Dana Mari Zahavi | Pharmacist | 632 Lindero Canyon Rd, Oak Park, CA 91377-5457 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1992254502 | Brenda Pasqua | Emergency Medical Technician, Basic | 899 Kanan Rd, Oak Park, CA 91377 | 2016-09-23 |
| 1093178303 | Paul Hahn | Marriage & Family Therapist | 6843 Poppyview Drive, Oak Park, CA 91377 | 2016-04-04 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1811079809 | Tracey Burrell | Psychologist | 346 North Kanan Road, 202, Oak Park, CA 91377 | 2006-10-19 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| 1992203228 | Nancy Raquel Ludwig | Marriage & Family Therapist | 5867 Briarwood Ln, Oak Park, CA 91377-1063 | 2018-02-01 |
| 1083798805 | Tad Alan Erickson | Dentist | 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 | 2006-10-25 |
| 1982851812 | Gary Thomas Hardeman | Speech-Language Pathologist | 346 Kanan Rd, #104, Oak Park, CA 91377-1100 | 2008-08-21 |
| Find all providers in zip 91377 | ||||
| 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 |
|---|---|---|---|---|
| 1841792512 | Lees Pharmacy LLC | Pharmacy | 21700 Greenfield Rd Ste 345, Oak Park, MI 48237-2538 | 2018-03-08 |
| 1780198176 | Health Delivery Management, LLC | Pharmacy | 610 S. Maple Ave., Suite 1200, Oak Park, IL 60304-1091 | 2017-11-22 |
| 1174079560 | Medsource Family Pharmacy LLC | Pharmacy | 15300 W 9 Mile Rd Ste 2, Oak Park, MI 48237-5200 | 2016-08-26 |
| 1902264484 | Ultimate Care Pharmacy | Pharmacy | 15075 Lincoln St, 110, Oak Park, MI 48237-3335 | 2016-01-29 |
| 1417203399 | Mercury Drugs LLC | Pharmacy | 22150 Coolidge Hwy, Oak Park, MI 48237-2813 | 2012-07-30 |
| 1851674709 | Farm Fresh Pharmacy LLC | Pharmacy | 13151 W 10 Mile Rd Ste 1, Oak Park, MI 48237-4601 | 2011-09-27 |
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1831114495 | Bormans Inc | Pharmacy | 13151 Ten Mile Rd, Oak Park, MI 48237 | 2006-07-13 |
| 1083645071 | Kmart of Michigan Inc | Pharmacy | 26200 Greenfield Rd, Oak Park, MI 48237-1051 | 2006-07-06 |
| 1902846652 | One Vision Pharmacy Services Inc | Pharmacy | 25950 Greenfield Rd, Oak Park, MI 48237-1001 | 2006-06-08 |
| Find all providers in OAK PARK | ||||
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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.