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CVS PHARMACY# 09773
NPI 1952347015
Pharmacy in La Mirada, CA

Active since June 20, 2006
15743 IMPERIAL HWY, LA MIRADA, CA 90638(562) 947-9822 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cvs Pharmacy# 09773 NPPES

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

CVS PHARMACY# 09773 (NPI 1952347015) is a healthcare organization registered as a pharmacy in La Mirada, California and active in the NPI registry since June 2006. The organization lists Susan Colbert, Director Pharmacy Relations, as its authorized official.

NPPES Registry Identity

NPI1952347015
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGARFIELD BEACH CVS LLC
Location Address15743 IMPERIAL HWYLa Mirada, CA 90638-2510
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(562) 947-9822
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Pharmacy Relations · (401) 770-2937
Enumeration DateJune 20, 2006
Last NPPES UpdateOctober 25, 2011
✔ NPI 1952347015 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
15743 IMPERIAL HWY, La Mirada, CA 90638
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Other Names 1

Doing Business AsCvs Pharmacy# 09773

Other Identifiers 4

Medicare NSC5541620267
Medicare PINP00962113
Other5619652Other Id Number-commercial Number
Medicare PINBV332B

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy# 09773 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 3

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

PAULINE PHUONG HO
Pharmacist
15743 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 947-9822
DR. NIMISHA M BHATT PHARM D
Pharmacist
15743 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 947-9822
KAREN CHOI
Pharmacist
15743 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 947-9822

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 1952347015. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as CVS Pharmacy# 09773.

Where is Garfield Beach CVS LLC located?

Garfield Beach CVS LLC is located at 15743 Imperial Hwy, La Mirada, CA 90638. The listed phone number is (562) 947-9822.

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 October 25, 2011. 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.