HOLIDAY CVS LLC (NPI# 1114021078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114021078 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 05169 |
| Practice Address |
100 2nd Ave Se Jasper FL 32052-6114 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3867922551 |
| Practice Fax Number | 3867923577 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS) |
| 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 | 20642 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105940800 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1079171 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 05169 | 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 |
100 2ND AVE SE |
| City | JASPER |
| State | FL |
| Zip Code | 32052-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| Find all providers in zip 32052 | ||||
| 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 |
|---|---|---|---|---|
| 1497280549 | Bowies Express Care Pharmacy, LLC | Pharmacy | 5100 Curry Hwy Ste A150, Jasper, AL 35503-5865 | 2017-04-26 |
| 1275085243 | Cheek & Scott Drugs Inc | Pharmacy | 1150 Us Highway 41 Nw Ste 13, Jasper, FL 32052-5889 | 2016-10-26 |
| 1275899973 | Medication Management Solutions LLC | Pharmacy | 2030 3rd Ave S, Jasper, AL 35501-5807 | 2012-04-06 |
| 1982737342 | Buehler's Pharmacy | Pharmacy | 750 N 2nd Ave., Jasper, IN 47546-3401 | 2007-03-14 |
| 1770682098 | Brookshire Brothers Inc | Pharmacy | 1125 S Wheeler St, Jasper, TX 75951-5117 | 2006-09-22 |
| 1942219217 | Priority Care Pharmacy 2 LLC | Pharmacy | 4330 Highway 78 E Ste 109, Medical Plaza East, Jasper, AL 35501-8955 | 2006-08-05 |
| 1821020843 | Freds Stores of Tennessee Inc | Pharmacy | 280 Highway 78 W, Jasper, AL 35501-3740 | 2006-07-07 |
| 1184013799 | Guardian Pharmacy of Birmingham LLC | Pharmacy | 1100 7th Ave, Jasper, AL 35501-4377 | 2015-01-20 |
| 1487983300 | Glover Drug Urgent Care Nw | Pharmacy | 2708 Highway 78 E, Jasper, AL 35501-3430 | 2009-12-24 |
| 1184749350 | Afterhours Rx | Pharmacy | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-03-20 |
| Find all providers in JASPER | ||||
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| 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.