GARFIELD BEACH CVS LLC (NPI# 1447295340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447295340 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #09610 |
| Practice Address |
12280 Perris Blvd Moreno Valley CA 92557-7418 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9512423596 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5621138 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #09610 | 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 |
12280 PERRIS BLVD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578048286 | Jeffrey Tang | Pharmacist | 12280 Perris Blvd, Moreno Valley, CA 92557-7418 | 2018-09-27 |
| 1710333505 | Sunny Lee | Pharmacist | 12280 Perris Blvd, Moreno Valley, CA 92557-7418 | 2016-05-11 |
| 1164877783 | Peter Cao | Pharmacist | 12280 Perris Blvd, Moreno Valley, CA 92557-7418 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| 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 |
|---|---|---|---|---|
| 1740729763 | Giriraj Corporation | Pharmacy | 24825 Alessandro Blvd Ste 2, Moreno Valley, CA 92553-5851 | 2017-02-23 |
| 1578805289 | Kaiser Foundation Health Plan Inc | Pharmacy | 27200 Iris Ave Mob 2, Fl 3, Moreno Valley, CA 92555-4802 | 2013-03-20 |
| 1659663235 | Riddhi Pharmacy Corporation | Pharmacy | 22635 Alessandro Blvd Ste E, Moreno Valley, CA 92553-8550 | 2011-05-13 |
| 1073660395 | Kaiser Foundation Health Plan Inc | Pharmacy | 12815 Heacock St Fl 2, Moreno Valley, CA 92553-3116 | 2007-01-05 |
| 1982773834 | Siddhaye Corp | Pharmacy | 12818 Heacock St, Ste C 5, Moreno Valley, CA 92553-3173 | 2006-11-07 |
| 1154436178 | Pravin Darji | Pharmacy | 12980 Frederick St Ste B, Moreno Valley, CA 92553-5263 | 2006-08-20 |
| 1932142718 | Raafat George Gerges | Pharmacy | 12730 Heacock St Ste 1, Moreno Valley, CA 92553-3040 | 2006-06-13 |
| 1104310812 | Girish R Shah | Pharmacy | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2018-06-15 |
| 1831573963 | B P L P A Pharmacy Corporation | Pharmacy | 12730 Heacock St Ste 1, Moreno Valley, CA 92553-3040 | 2015-07-18 |
| 1659617124 | Kaiser Foundation Health Plan Inc | Pharmacy | 27200 Iris Ave, Mob 2 Fl 1, Moreno Valley, CA 92555-4802 | 2013-01-02 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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.