| NPI | 1093756900 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-10 |
| Last Updated | 2011-08-23 |
| Authorized Official | Cristiana Mauricio MANAGER PHARMACY ENROLLMENTS Phone: 4017702937 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States 📍 View Map |
| Primary Practice Address | 12315 Venice Blvd Mar Vista, CA 90066-3801 United States Phone: (310) 390-6296 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 5620643 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | — | — |
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About NPI 1093756900
Garfield Beach Cvs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093756900. The primary specialty listed is Pharmacy. The organization is located in Mar Vista, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093756900?
NPI 1093756900 belongs to Garfield Beach Cvs Llc, a Pharmacy in Mar Vista, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093756900 active?
The current status of NPI 1093756900 in the NPPES registry is Active. The record was last updated on 2011-08-23.
What specialty is NPI 1093756900?
NPI 1093756900 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093756900?
You can verify NPI 1093756900 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093756900?
The primary practice address on file for NPI 1093756900 is 12315 Venice Blvd, Mar Vista, CA 90066-3801. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093756900 issued?
NPI 1093756900 was first issued (enumerated) on 2006-06-10. The NPPES record was last updated on 2011-08-23.
Practice Location Map
Garfield Beach Cvs Llc is located at 12315 Venice Blvd, Mar Vista, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Garfield Beach Cvs Llc. All records sourced from the CMS NPPES registry.