MEDICARE: GARFIELD BEACH CVS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5619777	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1295779551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARFIELD BEACH CVS LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 W FOOTHILL BLVD
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91741-2470
Country	:	US
Telephone Number	:	626-857-1942
Fax Number	:

Authorized Official
Title or Position	:	MANAGER PHARMACY ENROLLMENTS
Name	:	CRISTIANA MAURICIO
Credential	:
Telephone Number	:	401-770-2937

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1780620138 — DR. JEAN WILLIAM BARDENHEIER M.D.
Practice Location Address:

552 W FOOTHILL BLVD # 100
GLENDORA, CA
91741-2470

Practice Phone: 626-335-4079
Practice Fax:

1144761842 — HOI MAN CARMAN CHAN NP
Practice Location Address:

552 W FOOTHILL BLVD FL 1
GLENDORA, CA
91741-2470

Practice Phone: 626-335-5507
Practice Fax:

1871562017 — DR. NEIL E DOHERTY III MD
Practice Location Address:

552 W FOOTHILL BLVD STE 201
GLENDORA, CA
91741-2470

Practice Phone: 626-915-4700
Practice Fax: 626-214-7815

1871097550 — CHRISTOPHER TOMASSIAN MD
Practice Location Address:

552 W FOOTHILL BLVD STE 202
GLENDORA, CA
91741-2470

Practice Phone: 818-795-8252
Practice Fax:

1841832847 — CHELSEA FUJITA-HAFFNER NP-C
Practice Location Address:

552 W FOOTHILL BLVD # 200
GLENDORA, CA
91741-2470

Practice Phone: 626-963-2490
Practice Fax:

1568090272 — BOBAK HEDAYATI MD
Practice Location Address:

552 W FOOTHILL BLVD STE 202
GLENDORA, CA
91741-2470

Practice Phone: 626-240-2020
Practice Fax:

Directions to “GARFIELD BEACH CVS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.