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GARFIELD BEACH CVS LLC NPI 1093898629


NPI Information

NPI: 1093898629
Provider Name: GARFIELD BEACH CVS LLC

Doing Business As: CVS PHARMACY #17259

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D2229874

Address:
747 GRAND AVE
DIAMOND BAR, CA
ZIP 91765
Phone: (909) 610-2150
Get Directions

GARFIELD BEACH CVS LLC is a pharmacy in Diamond Bar, 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 LLC NPI is 1093898629. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17259.

The provider's business location address is:

747 GRAND AVE
DIAMOND BAR, CA
ZIP 91765-400
Phone: (909) 610-2150
Fax: (909) 610-2150

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 05D2229874 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/1/2017.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHY54182CALIFORNIANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

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
1BV332BMEDICARE PIN
21093898629MEDICAIDCALIFORNIA
32115218OTHERPK
45541620600MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.