HOLIDAY CVS LLC (NPI# 1043314958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043314958 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #03635 |
| Practice Address |
1501 S Federal Hwy Pompano Beach FL 33062-7512 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9547880739 |
| Practice Fax Number | 9547887347 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 20463 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105586100 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1045928 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03635 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238321 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 15996 Preserve Marketplace Blvd, Odessa, FL 33556-5513 | 2020-09-04 |
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1811517758 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1120 E Kennedy Blvd Unit 126, Tampa, FL 33602-3581 | 2020-04-21 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1326697335 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 400 Clematis St, West Palm Beach, FL 33401-5321 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1144874793 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 802 E 25th St, Hialeah, FL 33013-3402 | 2019-07-31 |
| 1134605025 | Holiday Cvs LLC | Pharmacy | 13400 Immokalee Rd, Naples, FL 34120 | 2018-07-14 |
| 1669986766 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 2962 Aventura Blvd, Aventura, FL 33180-3103 | 2017-11-28 |
| 1942740238 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 9701 Sw 72nd St, Miami, FL 33173-4615 | 2017-03-06 |
| Street Address |
1501 S FEDERAL HWY |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437664190 | Alaina Shahen | Nurse Practitioner | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2017-12-04 |
| 1902253073 | Luisa Fishman | Nurse Practitioner | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2016-05-18 |
| 1609247089 | Anneli B. Liebig | Nurse Practitioner | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2015-10-12 |
| 1669840435 | Dhaneshkumar Patel | Pharmacist | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2015-09-09 |
| 1548671761 | Audrey Means Walters | Nurse Practitioner | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2014-05-09 |
| 1528302726 | Davon A Tobas | Nurse Practitioner | 1501 S Federal Hwy, Pompano Beach, FL 33062-7512 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276429 | Sincerus Florida, LLC | Pharmacy | 3265 W Mcnab Rd, Pompano Beach, FL 33069-4807 | 2016-02-26 |
| 1659612794 | Sentrix Pharmacy and Discount | Pharmacy | 3285 W Mcnab Rd, Pompano Beach, FL 33069-4807 | 2013-03-14 |
| 1194014969 | A1a Pharmacy Inc | Pharmacy | 3965 N Federal Hwy, Pompano Beach, FL 33064-6042 | 2011-04-01 |
| 1871895847 | Pharmacy Depot, LLC | Pharmacy | 1304a E Atlantic Blvd, Pompano Beach, FL 33060-6745 | 2010-11-24 |
| 1154637551 | W.a.p. Pharmacy Inc | Pharmacy | 437 E Atlantic Blvd Ste 1a-1b, Pompano Beach, FL 33060-6214 | 2010-08-23 |
| 1497061923 | In-town Pharmacy Inc. | Pharmacy | 1381 S Powerline Rd, Pompano Beach, FL 33069-4313 | 2010-08-21 |
| 1801110309 | Solantic of South Fl LLC | Pharmacy | 1611 S Federal Hwy, Pompano Beach, FL 33062-7514 | 2010-03-26 |
| 1871817924 | Drugs 4 Less Inc | Pharmacy | 1247 S Powerline Rd, Pompano Beach, FL 33069-4311 | 2010-03-18 |
| 1356380224 | Publix Super Markets Inc | Pharmacy | 411 S Cypress Rd, Pompano Beach, FL 33060-7135 | 2006-06-06 |
| 1912946880 | Publix Super Markets Inc | Pharmacy | 2511 E Atlantic Blvd, Pompano Beach, FL 33062-5217 | 2006-06-06 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on HOLIDAY CVS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.