GARFIELD BEACH CVS LLC (NPI# 1821034984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821034984 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS LLC |
| Other Organization Name | CVS PHARMACY 09497 |
| Practice Address |
14330 Culver Dr Irvine CA 92604-0303 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9495598129 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-09-08 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5621049 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 09497 | 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 |
14330 CULVER DR |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-0303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680087 | Samantha Chan | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2020-08-18 |
| 1952966202 | Nhan Thanh Lam | Pharmacist | 14330 Culver Dr, Irvine, CA 92604-0303 | 2019-05-02 |
| 1407410335 | Ngoc Hong Tran | Pharmacist | 14330 Culver Dr, Irvine, CA 92604-0303 | 2019-04-25 |
| 1013570761 | Neda Namdar | Pharmacist | 14330 Culver Dr, Irvine, CA 92604-0303 | 2019-04-18 |
| 1073073649 | Sharon Lee | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604 | 2019-03-20 |
| 1245769298 | Felicia Latonya Hunt | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2017-06-05 |
| 1932565223 | Romina Francesca Bagsic | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2016-01-03 |
| 1427448281 | Nina Reyes | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2015-02-02 |
| 1013197946 | Salma Essau Nawabi | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2007-11-08 |
| 1821213778 | Margaret Deanne Newton Mcmillan | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1861908170 | Quality Drug Corporation A California Corporation | Pharmacy | 18 Technology Dr Ste 104, Irvine, CA 92618-5303 | 2017-12-21 |
| 1710408695 | Scriptdash Inc | Pharmacy | 9213 Research Dr, Irvine, CA 92618-4286 | 2017-06-30 |
| 1972968204 | Integrative Pharmacy Solutions, Inc | Pharmacy | 16205 Sand Canyon Ave, Suite 105, Irvine, CA 92618-3781 | 2015-12-31 |
| 1316339757 | Baytree Pharmacy LLC | Pharmacy | 18005 Sky Park Cir Ste E, Irvine, CA 92614-6514 | 2015-02-23 |
| 1558783977 | Hospicare Pharmacy and Home Infusion of Irvine Inc | Pharmacy | 17975 Sky Park Cir Ste De, Irvine, CA 92614-6317 | 2014-01-21 |
| 1215281373 | Utl Inc | Pharmacy | 22 Odyssey Ste 135, Irvine, CA 92618-3193 | 2012-10-28 |
| 1215287966 | Apothera Inc | Pharmacy | 45 Post Ste B, Irvine, CA 92618-5216 | 2012-09-10 |
| 1205133790 | Caremeds Pharmacy Inc | Pharmacy | 17972 Sky Park Cir Ste F, Irvine, CA 92614-4400 | 2011-02-17 |
| 1669602165 | Optum Infusion Services 402, LLC | Pharmacy | 2300 Main St Ste 150, Irvine, CA 92614-6223 | 2009-07-17 |
| 1073790408 | K & Z, Inc. | Pharmacy | 4250 Barranca Pkwy Ste F, Irvine, CA 92604-1731 | 2008-01-28 |
| Find all providers in IRVINE | ||||
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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.