HOLIDAY CVS LLC (NPI# 1184728081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728081 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03463 |
| Practice Address |
8905 Bryan Dairy Rd Largo FL 33777-1102 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7273937542 |
| Practice Fax Number | 7273199254 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-10-15 |
| 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 | 20729 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1041576 | 01 | |
| FL | 105842800 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03463 | 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 |
8905 BRYAN DAIRY RD |
| City | LARGO |
| State | FL |
| Zip Code | 33777-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975207 | Barbara Annette (g) Baugher | Family Medicine | 8905 Bryan Dairy Rd, Largo, FL 33777-1102 | 2019-11-02 |
| 1558453720 | Kimberly D Hall | Nurse Practitioner | 8905 Bryan Dairy Rd, Largo, FL 33777-1102 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
| 1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
| 1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
| 1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
| 1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
| 1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| Find all providers in zip 33777 | ||||
| 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 |
|---|---|---|---|---|
| 1225430911 | Publix Super Markets Inc | Pharmacy | 12022 Indian Rocks Rd, Largo, FL 33774-3215 | 2014-09-24 |
| 1710225008 | Physicians Rx Pharmacy LLC | Pharmacy | 9701 Apollo Dr Ste 400, Largo, MD 20774-4791 | 2013-01-22 |
| 1558616391 | Mathew Management II, Inc. Dba Bay Breeze Rx | Pharmacy | 3350 E Bay Dr, Largo, FL 33771-1925 | 2012-07-18 |
| 1144467143 | Michaels Pharmacy | Pharmacy | 11987 Seminole Blvd, Largo, FL 33778-2804 | 2009-01-13 |
| 1528123957 | Lurds Inc | Pharmacy | 11152 Starkey Rd, Largo, FL 33773-4820 | 2006-12-26 |
| 1073673208 | Davita Medical Florida, Inc. | Pharmacy | 11920 Seminole Blvd, Largo, FL 33778-2803 | 2006-12-11 |
| 1013948124 | K Mart Corp | Pharmacy | 1000 Missouri Ave N, Largo, FL 33770-1814 | 2006-07-06 |
| 1427096502 | Albertsons LLC | Pharmacy | 3825 E Bay Dr, Largo, FL 33771-1936 | 2006-06-02 |
| 1083651517 | Albertsons LLC | Pharmacy | 13031 Walsingham Rd, Largo, FL 33774-3514 | 2006-06-01 |
| 1700848678 | Baycare Homecare Inc | Pharmacy | 8452 118th Ave North, Largo, FL 33773 | 2006-04-05 |
| Find all providers in LARGO | ||||
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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.