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CVS PHARMACY #17077
NPI 1013939644
Pharmacy in Eastvale, CA

Active since July 24, 2006
12471 LIMONITE AVE, EASTVALE, CA 91752(951) 256-5262(951) 256-5262 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2017, Nov 9, 2016, Aug 25, 2016 and 1 more (4 updates tracked since 2016).

About Cvs Pharmacy #17077 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #17077 (NPI 1013939644) is a healthcare organization registered as a pharmacy in Eastvale, California and active in the NPI registry since July 2006. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1013939644
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address12471 LIMONITE AVEEastvale, CA 91752-2457
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(951) 256-5262
Fax(951) 256-5262
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 7, 20174 updates tracked since enumeration
✔ NPI 1013939644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY54157 (CA)
12471 LIMONITE AVE, Eastvale, CA 91752
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Other Names 1

Doing Business AsCvs Pharmacy #17077

Other Identifiers 1

Other2113523Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
92 services91 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
52 services52 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
34 services34 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17077 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17077

DMEPOS supplier · Eastvale, CAOperated by Garfield Beach CVS LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #17077 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20434817
Medicare Participant SinceJanuary 1, 2019
Supplier Location12471 Limonite AveEastvale, CA 91752
Phone(951) 256-5262
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY YEN HY PHARMD
Pharmacist
12471 LIMONITE AVE, T-1961
EASTVALE, CA 91752
Riverside County (951) 256-5262
MAMTA SHAH
Pharmacist
12471 LIMONITE AVE, T1961
MIRA LOMA, CA 91752
Riverside County (951) 256-5262
DR. TAN TRAN O.D.
Optometrist
12471 LIMONITE AVE
EASTVALE, CA 91752
Riverside County (626) 872-8740
THANH LY RPH
Pharmacist
12471 LIMONITE AVE
EASTVALE, CA 91752
Riverside County (951) 256-5262
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
12471 LIMONITE AVE
EASTVALE, CA 91752
Riverside County (951) 256-5263
TANNIE TRAN OD, INC
Clinic/Center
12471 LIMONITE AVE
EASTVALE, CA 91752
Riverside County (951) 268-2996
MUKESH PATEL PHARM D
Pharmacist
12471 LIMONITE AVE, T-1961
EASTVALE, CA 91752
Riverside County (951) 256-5262

Frequently Asked Questions

What is GARFIELD BEACH CVS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013939644, enumerated as an "organization" on July 24, 2006.

Where is the provider located?

The provider is located at 12471 LIMONITE AVE EASTVALE, CA 91752 and the phone number is (951) 256-5262.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does GARFIELD BEACH CVS LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.