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GARFIELD BEACH CVS LLC NPI 1396786208


NPI Information

NPI: 1396786208
Provider Name: GARFIELD BEACH CVS LLC

Doing Business As: CVS PHARMACY #09649

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D2268817

Address:
33499 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 797-3500
Get Directions

GARFIELD BEACH CVS LLC is a pharmacy in Yucaipa, 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 1396786208. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #09649.

The provider's business location address is:

33499 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399-064
Phone: (909) 797-3500

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Manager Pharmacy Enrollments and has the following contact phone number (401) 770-2937.

The CLIA number assigned to this NPI record is 05D2268817 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 11/19/2009.


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 PharmacyNo
2333600000XPharmacyYes

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
1BQ784MEDICARE PIN
25619436OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3P00754218OTHERMEDICARE RR
45541620260MEDICARE 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: 4/28/2024

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