GARFIELD BEACH CVS, L.L.C. (NPI# 1891066775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891066775 |
| Entity Type | Organization |
| Organization Name | GARFIELD BEACH CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #11345 |
| Practice Address |
317 Lake Blvd, Ste B Redding CA 96003-2504 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5309996099 |
| Practice Fax Number | 5303517055 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 5302448093 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2019-11-15 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY LICENSE | PHY53288 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11345 | Doing Business As Name - Organization |
| Owens Pharmacy #17 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989820 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 701 Van Ness Ave, San Francisco, CA 94102-3229 | 2018-10-30 |
| 1023597374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Town Center Dr, La Canada Flintridge, CA 91011-1638 | 2018-08-08 |
| 1457837304 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3029 University Ave, San Diego, CA 92104-3036 | 2018-07-13 |
| 1699292425 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2620 E Chapman Ave, Orange, CA 92869-3207 | 2017-08-23 |
| 1700302361 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1414 University Ave, Berkeley, CA 94702-1548 | 2017-08-16 |
| 1750684205 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 23743 Jackson Ave, Murrieta, CA 92562-1988 | 2010-12-06 |
| 1952603763 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 731 Market St, San Francisco, CA 94103-2002 | 2010-11-30 |
| 1740598689 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14426 Palmdale Rd, Victorville, CA 92392 | 2010-09-14 |
| 1629399498 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Katella Ave, Los Alamitos, CA 90720-2353 | 2010-06-16 |
| 1245556281 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 14967 W. Whitesbridge Ave, Kerman, CA 93630 | 2010-04-15 |
| 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 |
317 LAKE BLVD, STE B |
| City | REDDING |
| State | CA |
| Zip Code | 96003-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1417391236 | Owens Healthcare - Retail Pharmacy, Inc. | Pharmacy | 1255 Liberty St Ste C, Redding, CA 96001-0814 | 2013-04-23 |
| 1265764393 | Garfield Beach Cvs, L.L.C. | Pharmacy | 1035 Placer St, Ste 110, Redding, CA 96001-1125 | 2010-01-29 |
| 1801947403 | Owens Healthcare-retail Pharmacy Inc | Pharmacy | 2880 Churn Creek Rd Ste A, Redding, CA 96002-1168 | 2007-01-12 |
| 1902916661 | Raleys | Pharmacy | 110 Hartnell Ave, Redding, CA 96002-1842 | 2006-08-30 |
| 1073623740 | Raleys | Pharmacy | 201 Lake Blvd Unit B, Redding, CA 96003-2506 | 2006-08-30 |
| 1659316107 | Shopko Stores Operating Co LLC | Pharmacy | 55 Lake Blvd, Redding, CA 96003-2500 | 2006-06-18 |
| 1578505384 | Longs Drug Stores California LLC | Pharmacy | 1060 E Cypress Ave, Redding, CA 96002-1114 | 2006-06-13 |
| 1750904744 | Lien Family Pharmacy Corporation | Pharmacy | 3637 Eureka Way, Redding, CA 96001-0177 | 2020-05-25 |
| 1750506796 | Churn Creek Pharmacy, Inc. | Pharmacy | 3330 Churn Creek Rd, Suite A1, Redding, CA 96002-2532 | 2007-04-16 |
| Find all providers in REDDING | ||||
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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.