Garfield Beach CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GARFIELD BEACH CVS LLC

Doing business as

CVS Pharmacy 08833

Practice address

3332 Sandrock Rd
San Diego, CA 92123-2240

Phone

(858) 278-0047

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 08833 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  dba CVS Pharmacy # 05874

  • Pharmacy
  • Boston, MA
  • NPI 1821197120

  Member Of

  NPD member

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nawal O Alteliani

  • Pharmacist
  • San Diego, CA
  • NPI 1437747193
  NPD (past)
• Shaadi Ariazand

  • Pharmacist
  • San Diego, CA
  • NPI 1669833190
  NPD (past)
• Omobolanle M Esan

  • Pharmacist
  • San Diego, CA
  • NPI 1124620224
  NPD (past)
• Gabriela Estrada, RN

  • Registered Nurse
  • San Diego, CA
  • NPI 1215525951
  NPD (past)
• Stephanie Kramer, RPH

  • Pharmacist
  • San Diego, CA
  • NPI 1275984221
  NPD (past)
• Dean Lam, PHARMD

  • Pharmacist
  • San Diego, CA
  • NPI 1285221556
  NPD (past)
• Bich N. Nguyen

  • General Practice Registered Nurse
  • San Diego, CA
  • NPI 1225625627
  NPD (past)
• Athira Sureshkumar

  • Pharmacist
  • San Diego, CA
  • NPI 1467013334
  NPD (past)
• Stephanie Nicole Thau

  • Pharmacist
  • San Diego, CA
  • NPI 1790251130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1154366953",
    "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": "3332 SANDROCK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232240",
            "telephone_number": "858-278-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD BEACH CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-08-22",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5621669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 08833",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elissa Garelick
• Donna Garey, M.P.T.
• Kevin Garff
• Margarita Denise Garfias
• Garfield Beach CVS LLC (CVS Pharmacy 09109)
• Garfield Beach CVS LLC (CVS Pharmacy # 16103)
• Garfield Beach CVS LLC (CVS Pharmacy #09148)
• Garfield Beach CVS LLC (CVS Pharmacy 09102)
• Garfield Beach CVS LLC (CVS Pharmacy #17517)
• Garfield Beach CVS LLC (CVS Pharmacy #09177)

• Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.