Garfield Beach Cvs LLC
Pharmacy in Hayward, CA. Organization (NPI-2).
NPI number1124425293
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1124425293
- Entity type
- Organization (NPI-2)
- Legal business name
- Garfield Beach Cvs LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2014
- Last updated
- Apr 27, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #10199 (Doing Business As)
Practice location
26059 Mission BlvdHayward, CA 94544-2538
Phone 510-886-2207
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director Payer Relations
4017702751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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