CVS PHARMACY #17074
NPI 1811053796
Pharmacy in Fontana, CA

Active since December 28, 2006
15272 SUMMIT AVE, FONTANA, CA 92336(909) 356-4242(909) 356-4242 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2016, Aug 25, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Cvs Pharmacy #17074 NPPES

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

CVS PHARMACY #17074 (NPI 1811053796) is a healthcare organization registered as a pharmacy in Fontana, California and active in the NPI registry since December 2006. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1811053796
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address15272 SUMMIT AVEFontana, CA 92336-0231
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Fax(909) 356-4242
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateDecember 28, 2006
Last NPPES UpdateNovember 8, 20163 updates tracked since enumeration
NPI 1811053796 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 · License PHY54179 (CA)
15272 SUMMIT AVE, Fontana, CA 92336

Other Names 1

Doing Business AsCvs Pharmacy #17074

Other Identifiers 2

Other2113410Pk
Medicare NSC5541620698

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.
53 services52 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.
41 services41 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17074 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17074

DMEPOS supplier · Fontana, CAOperated by Garfield Beach CVS LLC

Does not accept Medicare assignment

CVS Pharmacy #17074 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)20435435
Medicare Participant SinceJanuary 1, 2019
Supplier Location15272 Summit AveFontana, CA 92336
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 8

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

Pharmacist
15272 SUMMIT AVE
FONTANA, CA 92336
Pharmacist
15272 SUMMIT AVE, T1958
FONTANA, CA 92336
Pharmacist
15272 SUMMIT AVE
FONTANA, CA 92336
Pharmacist
15272 SUMMIT AVE
FONTANA, CA 92336
Pharmacist
15272 SUMMIT AVE
FONTANA, CA 92336
Pharmacist
15272 SUMMIT AVE
FONTANA, CA 92336
Health Maintenance Organization
15272 SUMMIT AVE
FONTANA, CA 92336
Nurse Practitioner (Family)
15272 SUMMIT AVE
FONTANA, CA 92336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811053796, enumerated as an "organization" on December 28, 2006.

The provider is located at 15272 SUMMIT AVE FONTANA, CA 92336 and the phone number is (909) 356-4242.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.