GARFIELD BEACH CVS LLC (NPI# 1619185162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619185162 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY #17377 |
| Practice Address |
27100 Eucalyptus Ave Moreno Valley CA 92555-4522 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9515718015 |
| Practice Fax Number | 9515718025 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-11-17 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54128 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112438 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17377 | 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 |
27100 EUCALYPTUS AVE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629023270 | Betty Bo Young Han | Optometrist | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2006-05-23 |
| 1336781608 | Hourglass Optometry, Inc. | Clinic/Center | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2019-10-08 |
| 1114402757 | Amy W Chen | Pharmacist | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2018-09-29 |
| 1275933434 | Neviah Nghi Nguyen | Pharmacist | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2014-08-25 |
| 1629366224 | Joyce Hong | Pharmacist | 27100 Eucalyptus Ave, T-2309, Moreno Valley, CA 92555-4522 | 2011-07-16 |
| 1497042824 | Joseph Lewis Pratt | Pharmacist | 27100 Eucalyptus Ave, T-2309, Moreno Valley, CA 92555-4522 | 2011-07-06 |
| 1730470428 | Bo Young Han Inc | Optometrist | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2011-04-28 |
| 1073703658 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| 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 | 92555 |
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.