Active NPI
Garfield Beach CVS LLC
Doing business as CVS Pharmacy 09661
- Pharmacy
- Los Angeles, CA
National Provider Identifier
1013952902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- GARFIELD BEACH CVS LLC
- Doing business as
- CVS Pharmacy 09661
- Practice address
- 6360 W 3Rd St
Los Angeles, CA 90036-3155 - Phone
- (323) 937-3019
- NPI assigned
- Jun 17, 2006
- Last updated
- Sep 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristiana Mauricio
- Title
- Manager Pharmacy Enrollments
- Phone
- (401) 770-2937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
6360 W 3Rd St
Los Angeles, CA 90036-3155
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other names 1
- CVS PHARMACY 09661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000218 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799866620 | This NPI is an additional NPI on the enrollment |
| O20100930055950 | CA | DME Supplier - Pharmacy | 5799866620 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy 08830
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1013952902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "PO BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 W 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363155",
"telephone_number": "323-937-3019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARFIELD BEACH CVS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "CRISTIANA",
"authorized_official_title_or_position": "MANAGER PHARMACY ENROLLMENTS",
"authorized_official_telephone_number": "401-770-2937"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 09661",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Los Angeles, CA
- Joanne Garduno, N.P.
- Marisol Garduno, LCSW
- Cambria L. Garell, M.D.
- Govena Kaur Garewal
- Salvador Garfias, MD
- Garfield Beach CVS LLC (CVS Pharmacy 09477)
- Garfield Beach CVS LLC (CVS Pharmacy #02396)
- Garfield Beach CVS LLC (CVS Pharmacy #10791)
- Garfield Beach CVS LLC (CVS Pharmacy #08886)
- Garfield Beach CVS LLC (CVS Pharmacy #08892)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.