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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PHY54051	CA
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2113409	OTHER		PK

General Provider Information

NPI Number	:	1881616498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARFIELD BEACH CVS LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 N CAMPUS AVE
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91784-1667
Country	:	US
Telephone Number	:	909-981-6428
Fax Number	:	909-285-3261

Authorized Official
Title or Position	:	SR. DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/09/2016

Similar Medicare Providers

1033134127 — DR. GARY TOTTEN D.M.D.
Practice Location Address:

1667 N MOUNTAIN AVE , SUITE 125
UPLAND, CA
91784-1781

Practice Phone: 909-981-4711
Practice Fax:

1003193897 — MS. AEKTA ARVIND PATEL PHARM.D
Practice Location Address:

1931 N CAMPUS AVE
UPLAND, CA
91784-1667

Practice Phone: 909-981-6428
Practice Fax:

1568730182 — LIEN GOVERNANTI PHARM.D.
Practice Location Address:

1931 N CAMPUS AVE , T-1834
UPLAND, CA
91784-1667

Practice Phone: 909-981-6428
Practice Fax: 909-981-6428

1104200658 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

1931 N CAMPUS AVE
UPLAND, CA
91784-1667

Practice Phone: 909-285-3130
Practice Fax:

1124572631 — ALBERTSONS LLC
Practice Location Address:

1910 N CAMPUS AVE
UPLAND, CA
91784-1667

Practice Phone: 909-946-3340
Practice Fax: 909-946-0052

1992315766 — BELINDA LUCK
Practice Location Address:

1931 N CAMPUS AVE
UPLAND, CA
91784-1667

Practice Phone: 909-981-6428
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 © 2007-2026 (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.