GARFIELD BEACH CVS, L.L.C (NPI# 1598099939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598099939 |
Entity Type | Organization |
Organization Name | GARFIELD BEACH CVS, L.L.C |
Other Organization Name | CVS PHARMACY #08943 |
Practice Address |
102 S Sanderson Ave San Jacinto CA 92582-3730 |
Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
Practice Telephone | 9514879185 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2009-10-01 |
Last Update Date | 2011-08-24 |
Authorized Official Name | MRS. 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 | 1598099939 | 05 | |
NCPDP - OTHER COMMERCIAL IDENTIFIER | 5636052 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY #08943 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811488265 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 2121 W Baseline Rd, Upland, CA 91784 | 2018-05-22 |
1790284404 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 29171 Newport Rd, Menifee, CA 92584-2200 | 2018-02-08 |
1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
1699298968 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 3010 Bernal Ave, Pleasanton, CA 94566-6606 | 2017-07-19 |
1538315056 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 53 E Olive Ave, Porterville, CA 93257 | 2008-08-15 |
1821595364 | Garfield Beach Cvs, L.l.c | Pharmacy | 500 Pine St., San Francisco, CA 94108 | 2018-04-11 |
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 |
102 S SANDERSON AVE |
City | SAN JACINTO |
State | CA |
Zip Code | 92582-3730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528607637 | Thuy Nguyen | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2020-01-06 |
1861037525 | Lisa Sungsook Lee | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2019-11-16 |
1780111500 | Gaurav Shinde | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2017-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568000339 | Wenda Renee Wilson Doby | Chore Provider | 1903 Glow Pointe, San Jacinto, CA 92582 | 2019-12-12 |
1477823763 | Sean Yu | Pharmacist | 2261 W. Esplanade Ave, San Jacinto, CA 92582 | 2012-01-04 |
1528345451 | Charles K Ngethe | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2011-11-06 |
1801078290 | George Kyriopoulos | Chiropractor | 711 W Eslplanade, Suite B, San Jacinto, CA 92582 | 2007-11-28 |
1275734915 | Linda Christine Moya | Counselor | 950 Ramona Blvd, Ste 2, San Jacinto, CA 92582 | 2007-05-30 |
1174655906 | Scott Alan Mcclung | Marriage & Family Therapist | 950 N Ramona Blv, #2, San Jacinto, CA 92582 | 2007-03-09 |
1992890305 | Valley Wide Recreation & Park District | Substance Abuse Rehabilitation Facility | 901 W. Esplanade Ave., San Jacinto, CA 92582 | 2006-10-03 |
1225513898 | Jane Waweru | Licensed Vocational Nurse | 2883 Pansy Way, San Jacinto, CA 92582 | 2018-09-30 |
1568943918 | Charlene Cheng | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92582 | 2018-08-23 |
1659738813 | Riverside County Department of Mental Health | Community/Behavioral Health | 950 Ramona Blvd, Suite 2, San Jacinto, CA 92582 | 2016-01-19 |
Find all providers in zip 92582 |
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 |
---|---|---|---|---|
1043322092 | Gene Kim | Pharmacy | 100 E Main St, San Jacinto, CA 92583-4228 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
Find all providers with the same taxonomy |
City | SAN JACINTO |
Zip Code | 92582 |
Please comment or provide details below to improve the information on GARFIELD BEACH CVS, L.L.C.
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.