HOLIDAY CVS LLC (NPI# 1639191273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639191273 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #16224 |
| Practice Address |
250 E Miracle Strip Pkwy Mary Esther FL 32569-1924 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8502439557 |
| Practice Fax Number | 8506593287 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
PH 29771 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2009444 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16224 | 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 |
250 E MIRACLE STRIP PKWY |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| 1376823633 | Lara Watt | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2011-08-18 |
| 1184919094 | William R Cannon II | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2011-06-20 |
| 1699060392 | Julie L Fraser | Pharmacist | 250 E Miracle Strip Pkwy, T-0740, Mary Esther, FL 32569-1924 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1790929917 | Panhandle Hearing Centers, Inc. | Hearing Instrument Specialist | 300 Mary Esther Blvd, Sears Miracle Ear - Santa Rosa Mall, Mary Esther, FL 32569 | 2009-05-01 |
| Find all providers in zip 32569 | ||||
| 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] |
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| 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 | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
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.