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GARFIELD BEACH CVS L.L.C. NPI 1215167242


NPI Information

NPI: 1215167242
Provider Name: GARFIELD BEACH CVS, L.L.C.

Doing Business As: CVS PHARMACY # 05403

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1175 W LATHROP RD
MANTECA, CA
ZIP 95336
Phone: (209) 825-4685
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GARFIELD BEACH CVS, L.L.C. is a pharmacy in Manteca, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GARFIELD BEACH CVS, L.L.C. NPI is 1215167242. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 05403.

The provider's business location address is:

1175 W LATHROP RD
MANTECA, CA
ZIP 95336-326
Phone: (209) 825-4685

The provider's authorized official is Susan Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 7/24/2009 and was last updated on 5/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPHY50059CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00754218MEDICARE PIN
25635151OTHERNCPDP - OTHER COMMERCIAL IDENTIFIER
3BQ784MEDICARE PIN
41215167242MEDICAIDCALIFORNIA
55541620410MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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