HOLIDAY CVS LLC (NPI# 1164526067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164526067 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03602 |
| Practice Address |
3905 Wekiva Springs Rd Longwood FL 32779-3364 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4078628086 |
| Practice Fax Number | 4079625458 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-11-15 |
| 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 | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 20651 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1044560 | 01 | |
| FL | 105654900 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03602 | 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 |
3905 WEKIVA SPRINGS RD |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1184073892 | Ford's Pharmacy, LLC | Pharmacy | 181 Sabal Palm Dr Ste 111, Longwood, FL 32779-2594 | 2016-06-03 |
| 1063893964 | Advanced Rx Derm LLC | Pharmacy | 755 W Sr 434 Ste B, Longwood, FL 32750-5136 | 2015-06-16 |
| 1467884031 | Medicure Longwood Inc | Pharmacy | 420 W State Road 434 Ste 100, Longwood, FL 32750-5159 | 2013-08-05 |
| 1073815783 | Dlka Holdings, LLC | Pharmacy | 181 Sabal Palm Dr Ste 101, Longwood, FL 32779-2594 | 2010-12-01 |
| 1245278324 | Albertsons LLC | Pharmacy | 200 S Hwy 17/92, Longwood, FL 32750-5584 | 2006-06-02 |
| 1720025257 | Albertsons LLC | Pharmacy | 2381 W State Road 434, Longwood, FL 32779-4984 | 2006-06-01 |
| 1659523363 | Publix Super Markets, Inc. | Pharmacy | 2381 W State Road 434, Longwood, FL 32779-4984 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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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.