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CVS PHARMACY
NPI 1407897317
Pharmacy in Reseda, CA

Active since June 10, 2006
18247 SHERMAN WAY, RESEDA, CA 91335(818) 345-9640 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cvs Pharmacy NPPES

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

CVS PHARMACY (NPI 1407897317) is a healthcare organization registered as a pharmacy in Reseda, California and active in the NPI registry since June 2006. The organization lists Susan Colbert, Manager Pharmacy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1407897317
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address18247 SHERMAN WAYReseda, CA 91335-4551
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(818) 345-9640
Organization SubpartNo
Authorized OfficialSusan ColbertManager Pharmacy Enrollments · (401) 770-2937
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1407897317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
18247 SHERMAN WAY, Reseda, CA 91335
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Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 3

Medicare NSC5541620211
Medicare PINBV332B
Other5620035Other Id Number-commercial Number

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20080117000218Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

DR. TAMARA AVETISYAN PHARM. D.
Pharmacist
18247 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 345-9640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garfield Beach CVS LLC's NPI number?

The NPI number for Garfield Beach CVS LLC is 1407897317. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as CVS Pharmacy.

Where is Garfield Beach CVS LLC located?

Garfield Beach CVS LLC is located at 18247 Sherman Way, Reseda, CA 91335. The listed phone number is (818) 345-9640.

What is Garfield Beach CVS LLC's specialty?

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

Is Garfield Beach CVS LLC enrolled in Medicare?

Yes. Garfield Beach CVS LLC is registered in the Medicare PECOS enrollment system.

When is Garfield Beach CVS LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Garfield Beach CVS LLC was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.