Garfield Beach CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GARFIELD BEACH CVS LLC

Practice address

2004 El Camino Real
Santa Clara, CA 95050-4051

Phone

(669) 342-3321

NPI assigned

Aug 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS Pharmacy #17658 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

Tax ID family

CVS Pharmacy 09583721 organizations share this tax ID, including this one

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • West Covina, CA
  • NPI 1669413605
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Anaheim, CA
  • NPI 1669416913
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Winnetka, CA
  • NPI 1669416939
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Downey, CA
  • NPI 1669417556
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Eagle Rock, CA
  • NPI 1669418729
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Westminster, CA
  • NPI 1669681417
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Los Angeles, CA
  • NPI 1669830568
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Crescent City, CA
  • NPI 1679019319
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Santa Clarita, CA
  • NPI 1679514582
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Costa Mesa, CA
  • NPI 1679517924
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • Visalia, CA
  • NPI 1679726236
  NPD tax ID
• Garfield Beach CVS LLC

  • Pharmacy
  • McKinleyville, CA
  • NPI 1679998108
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1689074791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504051",
            "telephone_number": "669-342-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD BEACH CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689074791",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #17658",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Garcia
• Norma Garcia
• Oralia Isabel Garcia
• Yvette Garcia
• Terry Yvonne Gardner, FNP
• Ashima Garg, MD
• Elisha Garg, M.D.
• Gus M. Garmel, MD
• Laura Garzon Rojas
• Sofia Jo Gasacao

• Pharmacy in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.