Garfield Beach Cvs LLC
Garfield Beach Cvs LLC is a healthcare organization registered as Pharmacy in Manteca, CA, holding Type 2 (organization) NPI 1710909411 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710909411 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Garfield Beach Cvs LLC |
| Other name | <Unavail> |
| Practice address | 280 SPRECKELS AVE, Manteca, CA, 95336 |
| Phone | 2098249288 |
| Fax | 2098249288 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2017-05-09 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | PHY54071 | CA |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1998259 | Other | — | PK |
| 1710909411 | Medicaid | CA | — |
Copy-ready billing details
Provider: Garfield Beach Cvs LLC NPI: 1710909411 Taxonomy: 333600000X (Pharmacy) Address: 280 SPRECKELS AVE, Manteca, CA, 95336
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144515339 | Edward Larimer | Individual | Pharmacist | Manteca, CA |
| 1578844148 | Valerie Loetz | Individual | Pharmacist | Manteca, CA |
| 1790060374 | Kimberlee Wong | Individual | Pharmacist | Manteca, CA |
| 1326389065 | Raina Duong | Individual | Pharmacist | Manteca, CA |
| 1548503378 | Myrna Leah Coronel | Individual | Pharmacist | Manteca, CA |
| 1912374117 | Stavros Stathoudakis | Individual | Pharmacist | Manteca, CA |
| 1417434507 | Son Ho | Individual | Pharmacist | Manteca, CA |
| 1720549751 | Sarah Kim | Individual | Pharmacist | Manteca, CA |
Verify this record
Cross-check NPI 1710909411 against the authoritative CMS record: view Garfield Beach Cvs LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Garfield Beach Cvs LLC?
What is the NPI number for Garfield Beach Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-09.