HOLIDAY CVS, L.L.C. (NPI# 1265754402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265754402 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY #04686 |
| Practice Address |
5590 N Wickham Rd Melbourne FL 32940-7303 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 3217510090 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | SUSAN F. COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DME | 001956501 | 01 |
| FL | 001956500 | 05 | |
| NCPDP | 1053444 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #04686 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376846501 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 8325 Baymeadows Rd, Jacksonville, FL 32256-7434 | 2010-12-09 |
| 1659673713 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 49581 Us Highway 27, Davenport, FL 33897-9507 | 2010-11-23 |
| 1063733749 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15550 San Carlos Blvd, Fort Myers, FL 33908-2550 | 2010-06-17 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1912226044 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 8603 W Hillsborough Ave, Tampa, FL 33615-3810 | 2010-05-28 |
| 1629392337 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4500 Pleasant Hill Rd, Kissimmee, FL 34746-2724 | 2010-03-24 |
| 1942530472 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 7430 Sw Archer Rd, Gainesville, FL 32608-4610 | 2010-01-06 |
| 1912236415 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 700 Ne 6th Ave, Delray Beach, FL 33483-5702 | 2009-12-11 |
| 1265761761 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 924 Rinehart Rd, Lake Mary, FL 32746-1555 | 2009-12-11 |
| 1447589940 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6790 Central Florida Pkwy, Orlando, FL 32821-6025 | 2009-12-11 |
| Street Address |
5590 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156618 | Hanady Saher Hamdan | Pharmacist | 5590 N Wickham Rd, Melbourne, FL 32940-7303 | 2019-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1477051217 | Atlantic Ph LLC | Pharmacy | 1525 S Wickham Rd, Melbourne, FL 32904-3540 | 2018-01-26 |
| 1871959296 | Dragonfly Botanica LLC | Pharmacy | 6450 N Wickham Rd, 102, Melbourne, FL 32940-2036 | 2016-01-14 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| 1700281672 | Florida Health Care Plan Inc | Pharmacy | 785 N Wickham Rd Ste 104, Melbourne, FL 32935-8857 | 2014-11-04 |
| 1265835938 | Holmes Regional Medical Center Inc | Pharmacy | 8725 N Wickham Rd Ste 102, Melbourne, FL 32940-2240 | 2014-10-08 |
| 1275878738 | Thrifty Discount Pharmacy LLC | Pharmacy | 32 W New Haven Ave, Melbourne, FL 32901-4406 | 2012-12-10 |
| 1306951330 | Sarno Pharmacy LLC | Pharmacy | 2176 Sarno Road Suite 120, Melbourne, FL 32935 | 2006-08-20 |
| 1821033572 | Pacifico National II Inc | Pharmacy | 2275 S Babcock St, Melbourne, FL 32901 | 2006-06-17 |
| 1457390320 | Publix Super Markets Inc | Pharmacy | 3200 Lake Washington Rd, Melbourne, FL 32934-7620 | 2006-06-06 |
| Find all providers in MELBOURNE | ||||
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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.