GARFIELD BEACH CVS, L.L.C (NPI# 1811488265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811488265 |
Entity Type | Organization |
Organization Name | GARFIELD BEACH CVS, L.L.C |
Other Organization Name | CVS PHARMACY #11112 |
Practice Address |
2121 W Baseline Rd Upland CA 91784 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 9096087833 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-07-12 |
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 #11112 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
2121 W BASELINE RD |
City | UPLAND |
State | CA |
Zip Code | 91784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316502404 | Elham Sadat Eftekhari | Pharmacist | 2121 W Baseline Rd, Upland, CA 91784-1738 | 2019-05-05 |
1891265658 | Christine Lucaciu | Pharmacist | 2121 W Baseline Rd, Upland, CA 91784-1738 | 2018-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518490135 | Christopher Velasquez | Emergency Medicine | 481 Fremont St, Upland, CA 91784 | 2017-04-10 |
1558613240 | Yung Huang | Marriage & Family Therapist | 1550 Geryser St., Upland, CA 91784 | 2012-10-05 |
1508132051 | Bunsri Thanasophon | Orthopaedic Surgery | 285 East 24th Street, Upland, CA 91784 | 2012-03-29 |
1265742605 | Shahin Taheri | Pharmacist | 15222 Summit Ave, Fontana, CA 91784 | 2010-10-19 |
1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
1790385250 | David Christopher Sudyka | Counselor | 1106 W 22nd St, Upland, CA 91784 | 2020-10-26 |
1770786428 | Mahmoud Torabinejad | Dentist | 600 N Euclid Ave, #102, Upland, CA 91784 | 2007-06-08 |
1730532946 | Michael Cervantes | Dentist | 2523 Mountain Ln, Upland, CA 91784-1075 | 2016-07-22 |
1497099220 | Ellen Liu | Nurse Practitioner | 1307 Mallorca St, Upland, CA 91784-1090 | 2012-11-16 |
1497897664 | Charles A Demott | Counselor | 1269 Granada St, Upland, CA 91784-1095 | 2007-02-13 |
Find all providers in zip 91784 |
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 |
---|---|---|---|---|
1881040863 | Bunga Teratai Cemeriang America Inc | Pharmacy | 583 E Foothill Blvd, Units 7 and 8, Upland, CA 91786-3995 | 2016-05-10 |
1609241629 | Upland Family Pharmacy LLC | Pharmacy | 1809 S Main St Ste 150, Upland, IN 46989-9259 | 2015-12-02 |
1104370881 | San Antonio Regional Hospital | Pharmacy | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2016-08-10 |
1548326424 | Herbert Y H & Jean C N King | Pharmacy | 1060 E Foothill Blvd, Ste 101, Upland, CA 91786-4027 | 2006-12-28 |
1720172125 | K2 Drugs Inc. | Pharmacy | 901 San Bernardino Rd, Ste B, Upland, CA 91786-4912 | 2006-10-03 |
1285728683 | Dominguez Pharmacy Lp | Pharmacy | 1175 E Arrow Hwy, Upland, CA 91786-5525 | 2006-10-03 |
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 |
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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.