CVS PHARMACY # 03117
NPI 1154507374
Pharmacy in Atwater, CA

Q: What is Garfield Beach CVS, L.L.C.'s NPI number?

The NPI number for Garfield Beach CVS, L.L.C. is 1154507374. It was assigned to this organization in the NPPES registry on January 17, 2008. The provider is doing business as CVS Pharmacy # 03117.

Q: What is Garfield Beach CVS, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since January 17, 2008CLIA 05D2271390 · Waiver

1651 BELLEVUE RD, ATWATER, CA 95301(209) 358-3304 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy # 03117 NPPES

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

CVS PHARMACY # 03117 (NPI 1154507374) is a healthcare organization registered as a pharmacy in Atwater, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1154507374

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameGARFIELD BEACH CVS, L.L.C.

Location Address1651 BELLEVUE RDAtwater, CA 95301

Mailing AddressOne Cvs Drive, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895 · (401) 765-1500

Phone(209) 358-3304

Organization SubpartNo

Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751

Enumeration DateJanuary 17, 2008

Last NPPES UpdateAugust 24, 2011

✔ NPI 1154507374 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

1651 BELLEVUE RD, Atwater, CA 95301

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Other Names 1

Doing Business AsCvs Pharmacy # 03117

Other Identifiers 4

Medicare PINBQ784

Other5629259CA · Other Commercial Number - Ncpdp

Medicare NSC5541620387CA

Medicaid1154507374CA

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2271390

Cvs/Pharmacy #03117 · Atwater, CA

Active · expires Oct 31, 2026

CLIA Number05D2271390

Laboratory TypePharmacy

Certificate Effective DateNovember 1, 2024

Certificate Expiration DateOctober 31, 2026

Laboratory DirectorJoshwinder Tung

Laboratory Phone(866) 389-2727

Laboratory LocationCvs/Pharmacy #031171651 Bellevue Ave, Atwater, CA 95301

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 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.

415 services407 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.

338 services338 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

48 services48 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

48 services48 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.

25 services25 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #03117 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #03117

DMEPOS supplier · Atwater, CAOperated by Garfield Beach CVS LLC

⋮

Does not accept Medicare assignment

CVS Pharmacy #03117 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)20432363

Medicare Participant SinceJanuary 1, 2019

Supplier Location1651 Bellevue RdAtwater, CA 95301

Phone(209) 358-3304

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

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

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 9

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

CHIDOZIE IKE PHARMD

Pharmacist