CVS PHARMACY #09177
NPI 1457396350
Pharmacy in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 333600000X.

Active since June 17, 2006

8260 MIRA MESA BLVD, SAN DIEGO, CA 92126(858) 566-3031 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cvs Pharmacy #09177 NPPES

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

CVS PHARMACY #09177 (NPI 1457396350) is a healthcare organization registered as a pharmacy in San Diego, California and active in the NPI registry since June 2006. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1457396350

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameGARFIELD BEACH CVS LLC

Location Address8260 MIRA MESA BLVDSan Diego, CA 92126-2662

Mailing Address1 Cvs Dr, Po Box 1075 Pharmaacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500

Phone(858) 566-3031

Organization SubpartNo

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

Enumeration DateJune 17, 2006

Last NPPES UpdateOctober 25, 2011

✔ NPI 1457396350 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

8260 MIRA MESA BLVD, San Diego, CA 92126

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Other Names 1

Doing Business AsCvs Pharmacy #09177

Other Identifiers 4

Medicare PINBQ784

Medicare NSC5541620056

Medicare PINP00754218

Other5620972Other Id Number-commercial Number

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 9

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.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

3,864 services374 patients

Adm sarscov2 50mcg/0.25mlbst 0064A

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

389 services385 patients

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.

304 services302 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.

249 services248 patients

Fee covid-19 vac 14 res 0134A

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

212 services212 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.

35 services35 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #9177 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #9177

DMEPOS supplier · San Diego, CAOperated by Garfield Beach CVS LLC

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Does not accept Medicare assignment

CVS Pharmacy #9177 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)20436197

Medicare Participant SinceJanuary 1, 2019

Supplier Location8260 Mira Mesa BlvdSan Diego, CA 92126

Phone(858) 566-3031

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 13

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

MINH-NGUYET MICHELLE LY

Pharmacist