HOLIDAY CVS LLC (NPI# 1457455354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457455354 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #03466 |
| Practice Address |
5400 4th St N St Petersburg FL 33703-2250 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7275252184 |
| Practice Fax Number | 7275226801 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-09-10 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 20335 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1041146 | 01 | |
| FL | 105843600 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03466 | 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 |
5400 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1437438082 | Publix Super Markets Inc | Pharmacy | 1700 34th St N, St Petersburg, FL 33713-3602 | 2011-08-15 |
| 1306134952 | Urban Specialty Pharmacy LLC | Pharmacy | 1617 34th St S Ste A, St Petersburg, FL 33711-2855 | 2011-07-18 |
| 1558657718 | Amicitia Pharma LLC | Pharmacy | 4105 49th St N Ste B, St Petersburg, FL 33709-5711 | 2011-06-24 |
| 1154624856 | Apothecary Pharmacy LLC | Pharmacy | 4749 34th St S, St Petersburg, FL 33711-4507 | 2010-12-19 |
| 1518109685 | Umbra Inc | Pharmacy | 5415 4th St N, St Petersburg, FL 33703-2249 | 2009-04-03 |
| 1205975257 | Curant Health Florida LLC | Pharmacy | 11001 Roosevelt Blvd N Ste 1400, St Petersburg, FL 33716-2338 | 2007-02-06 |
| 1972663102 | Optumcare Florida LLC | Pharmacy | 7601 9th St N, Ste C 1, St Petersburg, FL 33702-5211 | 2006-12-11 |
| 1457382574 | K Mart Corp | Pharmacy | 2900 34th St N, St Petersburg, FL 33713-3623 | 2006-07-06 |
| 1487685590 | K Mart Corp | Pharmacy | 3951 34th St S, St Petersburg, FL 33711-4360 | 2006-07-06 |
| 1659318087 | Albertsons LLC | Pharmacy | 3900 66th St N, St Petersburg, FL 33709-4912 | 2006-06-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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.