GARFIELD BEACH CVS LLC (NPI# 1568484194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568484194 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #16356 |
| Practice Address |
1980 Santa Rosa Ave Santa Rosa CA 95407-7621 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7075750982 |
| Practice Fax Number | 7075965358 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-29 |
| 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 |
PHY54040 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2113699 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16356 | 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 |
1980 SANTA ROSA AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296335 | Christopher Adkins | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2020-08-17 |
| 1629693882 | Natalie Joy Chan | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2020-06-13 |
| 1245894096 | Benjamin Yu | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2019-04-26 |
| 1922534403 | Steven Si-yun Cheng | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407 | 2017-05-03 |
| 1164962130 | Jessica Nicole Reilly | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2017-02-24 |
| 1972930394 | Jennifer Kim Phan | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407 | 2013-09-30 |
| 1528323649 | Younghae Jennifer Ahn | Pharmacist | 1980 Santa Rosa Ave, T-937, Santa Rosa, CA 95407-7621 | 2012-07-05 |
| 1265707772 | Tammy Y Chen | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2012-03-16 |
| 1831469014 | Jean Marie Swanson | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1053548230 | Kaiser Foundation Hospitals | Pharmacy | 3975 Old Redwood Hwy Fl 2, Santa Rosa, CA 95403-1719 | 2009-06-16 |
| 1982749453 | Guadalupe County | Pharmacy | 117 Camino De Vida Ste 200, Santa Rosa, NM 88435-2267 | 2007-02-21 |
| 1720135056 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way Fl 1, Santa Rosa, CA 95403-2149 | 2007-01-05 |
| 1639115249 | Safeway Inc | Pharmacy | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2006-06-21 |
| 1922046184 | Lucky Stores II LLC | Pharmacy | 915 Montgomery Village Court, Santa Rosa, CA 95405 | 2006-06-02 |
| 1548762263 | Kaiser Foundation Health Plan Inc | Pharmacy | 2240 Mercury Way, Fl 1 Mob 6, Santa Rosa, CA 95407 | 2018-03-08 |
| 1447606819 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, Hosp Bldg Fl-1, Santa Rosa, CA 95403-2149 | 2016-05-04 |
| 1730599697 | Marin Apothecaries Inc | Pharmacy | 751 Lombardi Ct, Suite 100, Santa Rosa, CA 95407-6798 | 2014-05-01 |
| 1750420550 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-02-06 |
| 1235275744 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, 2nd Floor, Santa Rosa, CA 95403 | 2007-01-30 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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.