CVS PHARMACY #08897 – NPI #1174658330
Pharmacy

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.

CVS PHARMACY #08897 is a pharmacy located in RIVERSIDE, CA. NPPES has assigned the NPI number 1174658330 to CVS PHARMACY #08897 on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #08897” is a dba name, the actual legal business name for this organization is GARFIELD BEACH CVS, L.L.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 14 years ago on Mar 14, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #08897 below.

NPI Profile for
GARFIELD BEACH CVS, L.L.C.

NPI Number
1174658330
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GARFIELD BEACH CVS, L.L.C.
Doing Business As (dba): CVS PHARMACY #08897
Primary location
3361 MARKET ST
RIVERSIDE, CA 92501
Phone: (951) 680-1145 Fax:
Mailing address
ONE CVS DRIVE
BOX 1075 - PHARMACY ENROLLMENTS
WOONSOCKET, RI 02895
Phone: (401) 765-1500 Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
DIRECTOR PAYER RELATIONS
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #08897

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP - OTHER COMMERCIAL IDENTIFIER5625934
MEDICAIDCA1174658330
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.