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GARFIELD BEACH CVS LLC NPI 1124425293


NPI Information

NPI: 1124425293
Provider Name: GARFIELD BEACH CVS LLC

Doing Business As: CVS PHARMACY #10199

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D2298900

Address:
26059 MISSION BLVD
HAYWARD, CA
ZIP 94544
Phone: (510) 886-2207
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GARFIELD BEACH CVS LLC is a pharmacy in Hayward, 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 1124425293. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #10199.

The provider's business location address is:

26059 MISSION BLVD
HAYWARD, CA
ZIP 94544-538
Phone: (510) 886-2207

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

The CLIA number assigned to this NPI record is 05D2298900 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 4/27/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15541620471MEDICARE NSC
25653452OTHERNCPDP
3BQ784MEDICARE PIN
41124425293MEDICAIDCALIFORNIA

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: 5/5/2024

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