GARFIELD BEACH CVS, L.L.C (NPI# 1750889531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750889531 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS, L.L.C |
| Other Organization Name | CVS PHARMACY #10807 |
| Practice Address |
1204 San Fernando Rd San Fernando CA 91340 |
| Mailing Address |
One Cvs Dr. Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8183612679 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | SUSAN F 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10807 | 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 |
| 1699298968 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 3010 Bernal Ave, Pleasanton, CA 94566-6606 | 2017-07-19 |
| 1598099939 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 102 S Sanderson Ave, San Jacinto, CA 92582-3730 | 2009-10-01 |
| 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 |
1204 SAN FERNANDO RD |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349637 | Arusyak Serobyan | Pharmacist | 1204 San Fernando Rd, San Fernando, CA 91340-3205 | 2019-04-25 |
| 1497318075 | Agnes Fugen | Pharmacist | 1204 San Fernando Rd, San Fernando, CA 91340-3205 | 2019-04-18 |
| 1033694195 | Ka Ming Yue | Pharmacist | 1204 San Fernando Rd, San Fernando, CA 91340-3205 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| 1992082960 | B. Deirmenjian, Dds, Inc. | Dentist | 12940 Foothill Blvd., C, Sn Fernando, CA 91340 | 2011-11-04 |
| Find all providers in zip 91340 | ||||
| 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 |
|---|---|---|---|---|
| 1033586953 | Casa Blanca Pharmacy Inc | Pharmacy | 2012 Glenoaks Blvd, San Fernando, CA 91340-1625 | 2015-08-26 |
| 1740323328 | Absolute Care, Inc. | Pharmacy | 541 N Maclay Ave Ste 104, San Fernando, CA 91340-2478 | 2007-02-14 |
| 1396893095 | Northeast Valley Health Corporation | Pharmacy | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2007-01-08 |
| 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 FERNANDO |
| Zip Code | 91340 |
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.