Garfield Beach CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GARFIELD BEACH CVS LLC

Doing business as

CVS Pharmacy#08869

Practice address

6775 Quail Hill Pkwy
Irvine, CA 92603-4233

Phone

(949) 823-8915

NPI assigned

Jun 16, 2006

Last updated

May 22, 2014By 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#08869 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1902840275",
    "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": "6775 QUAIL HILL PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034233",
            "telephone_number": "949-823-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD BEACH CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-05-22",
        "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": "5621710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY#08869",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garfield Beach CVS LLC (CVS Pharmacy #17707)
• Garfield Beach CVS LLC (CVS Pharmacy #09562)
• Garfield Beach CVS LLC (CVS Pharmacy 06768)
• Garfield Beach CVS LLC (CVS Pharmacy)
• Garfield Beach CVS LLC (CVS Pharmacy 09497)
• Sumit Garg, M.D.
• Savannah Garibay
• Katherine Marie Garner, PA-C
• Robin Thompson Garner, CCC-SLP
• Annika Garrett

• Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.

Verify at the official NPI Registry.