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CVS PHARMACY #08890
NPI 1720024888
Pharmacy in Tustin, CA

Active since June 20, 2006
17642 17TH ST, TUSTIN, CA 92780(714) 832-1850 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #08890 NPPES

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

CVS PHARMACY #08890 (NPI 1720024888) is a healthcare organization registered as a pharmacy in Tustin, 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

NPI1720024888
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address17642 17TH STTustin, CA 92780-1937
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(714) 832-1850
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2937
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 14, 2012
✔ NPI 1720024888 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
17642 17TH ST, Tustin, CA 92780
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Other Names 1

Doing Business AsCvs Pharmacy #08890

Other Identifiers 4

Other5621479Other Id Number-commercial Number
Medicare PINBV332B
Medicare PINP00962113
Medicare NSC5541620285

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 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.
377 services369 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.
327 services327 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.
56 services56 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.
50 services50 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.
13 services13 patients

Other Providers at the Same Location NPPES 3

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

PAUL LIN
Pharmacist
17642 17TH ST
TUSTIN, CA 92780
Orange County (714) 832-1850
EUGENE CHOI
Pharmacist
17642 17TH ST
TUSTIN, CA 92780
Orange County (714) 832-1850
MRS. HELEN WANG
Pharmacist
17642 17TH ST
TUSTIN, CA 92780
Orange County (714) 832-1850

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 1720024888. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as CVS Pharmacy #08890.

Where is Garfield Beach CVS LLC located?

Garfield Beach CVS LLC is located at 17642 17th St, Tustin, CA 92780. The listed phone number is (714) 832-1850.

What is Garfield Beach CVS LLC's specialty?

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

What insurance does Garfield Beach CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Garfield Beach CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garfield Beach CVS LLC was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.