CVS PHARMACY
NPI 1679517924
Pharmacy in Costa Mesa, CA

Q: What is Garfield Beach CVS LLC's NPI number?

The NPI number for Garfield Beach CVS LLC is 1679517924. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as CVS Pharmacy.

Q: What is Garfield Beach CVS LLC's specialty?

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

Active since June 16, 2006

1150 BAKER ST, COSTA MESA, CA 92626(714) 662-7517 Get Directions Write a Review

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

On this page

About Cvs Pharmacy NPPES

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

CVS PHARMACY (NPI 1679517924) is a healthcare organization registered as a pharmacy in Costa Mesa, 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

NPI1679517924

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameGARFIELD BEACH CVS LLC

Location Address1150 BAKER STCosta Mesa, CA 92626-4111

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(714) 662-7517

Organization SubpartNo

Authorized OfficialSusan ColbertManager Pharmacy Enrollments · (401) 770-2751

Enumeration DateJune 16, 2006

Last NPPES UpdateAugust 26, 2011

✔ NPI 1679517924 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

1150 BAKER ST, Costa Mesa, CA 92626

Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 3

Medicare NSC5541620107

Medicare PINBV332B

Other5619208Other 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 Arkansas Health & Wellness and more.Insurance ›

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.

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.

266 services262 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.

137 services137 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.

106 services106 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.

45 services45 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.

42 services42 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.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #09484 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #09484

DMEPOS supplier · Costa Mesa, CAOperated by Garfield Beach CVS LLC

⋮

Does not accept Medicare assignment

CVS Pharmacy #09484 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)20431583

Medicare Participant SinceJanuary 1, 2019

Supplier Location1150 Baker StCosta Mesa, CA 92626

Phone(714) 662-7517

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.

Other Providers at the Same Location NPPES 12

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

NGAN LY

Pharmacist