Active NPI
Garfield Beach CVS, L.L.C.
Doing business as CVS Pharmacy #11141
- Community/Retail Pharmacy
- Calexico, CA
National Provider Identifier
1891869244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 56157
- Legal business name
- GARFIELD BEACH CVS, L.L.C.
- Doing business as
- CVS Pharmacy #11141
- Practice address
- 420 E 2ND St
Calexico, CA 92231-2847 - Phone
- (760) 618-7554
- Fax
- (760) 357-1298
- NPI assigned
- Nov 19, 2006
- Last updated
- Nov 22, 2019
- 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
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 56157 | CA | Primary |
Addresses
Primary practice location
420 E 2ND St
Calexico, CA 92231-2847
Mailing address
1 CVS Drive
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA373270 | Medicaid | CA | |
| 515025 | Other | CA | NABP |
Other names 1
- CVS Pharmacy #11141
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 |
| O20191218002371 | CA | DME Supplier - Pharmacy | 5799866620 | Practice locations: Calexico, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy # 11141 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy 08852
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.
Locations
420 E 2nd St
Calexico, CA 92231
Phone (760) 357-1200
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pharmacist
- Calexico, CA
- NPI 1881354892
-
- Pharmacist
- Las Cruces, NM
- NPI 1568053866
-
- Pharmacy Technician
- Calexico, CA
- NPI 1164351011
-
- Pharmacist
- Greenville, NC
- NPI 1659678605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574380800000",
"number": "1891869244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DRIVE",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500",
"fax_number": "760-357-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 2ND ST",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312847",
"telephone_number": "760-618-7554",
"fax_number": "760-357-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARFIELD BEACH CVS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-19",
"last_updated": "2019-11-22",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "56157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA373270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "515025",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #11141",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Calexico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.