HOLIDAY CVS LLC (NPI# 1639273618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273618 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 05930 |
| Practice Address |
5701 Coral Ridge Dr Coral Springs FL 33076-3101 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9548254391 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| 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 | PH19975 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1003300 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 05930 | 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 |
5701 CORAL RIDGE DR |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33076-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215260815 | Ekram Yehia | Nurse Practitioner | 5701 Coral Ridge Dr, Coral Springs, FL 33076-3101 | 2009-09-14 |
| 1306916804 | Kimberly A Reyes | Nurse Practitioner | 5701 Coral Ridge Dr, Coral Springs, FL 33076-3101 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1730709692 | Zach Carl Rice | Counselor | 12155 Nw, 71st, Parkland, FL 33076 | 2020-04-21 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1295205359 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4621 Coral Ridge Dr., Coral Springs, FL 33076 | 2018-12-03 |
| 1497263636 | Nathalie Toro | Behavioral Analyst | 7796 Nw 110th Dr., Parkland, FL 33076 | 2018-01-22 |
| 1124532668 | Melissa Danielle Winter | Developmental Therapist | 8191 Canopy Ter, Parkland, FL 33076 | 2017-11-20 |
| 1821510546 | Sheryl Santiago Delgado | Physical Therapist | 4789 Nw 116th Ter, Coral Springs, FL 33076 | 2017-07-14 |
| 1730600453 | Ieda Schumacher Faircloth | Surgery | 4811 Nw 103 Drive, Coral Springs, FL 33076 | 2017-07-03 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1508313578 | Paola Alejandra Kesman | Dentist | 11980 Nw 81 Court, Parkland, FL 33076 | 2016-09-07 |
| Find all providers in zip 33076 | ||||
| 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 |
|---|---|---|---|---|
| 1497200802 | Gastrocare LLP | Pharmacy | 3001 Coral Hills Dr Ste 380a, Coral Springs, FL 33065-4172 | 2016-08-16 |
| 1356793616 | Cambridge Pharmacy Service LLC | Pharmacy | 3760 Nw 126th Ave, Coral Springs, FL 33065-2408 | 2016-07-11 |
| 1093039588 | Solantic/south Fl LLC | Pharmacy | 4450 N State Road 7, Coral Springs, FL 33073-3354 | 2010-03-26 |
| 1033288972 | Kings Pharmacy, Inc | Pharmacy | 2814 N University Dr, Coral Springs, FL 33065-5010 | 2006-11-07 |
| 1578594602 | K Mart Corp | Pharmacy | 9200 Wiles Rd, Coral Springs, FL 33067-1999 | 2006-07-06 |
| 1811936867 | Publix Super Markets Inc | Pharmacy | 5950 Coral Ridge Dr, Coral Springs, FL 33076-3300 | 2006-06-05 |
| 1639116163 | Albertsons LLC | Pharmacy | 2201 N University Dr, Coral Springs, FL 33071-6185 | 2006-06-01 |
| 1790328581 | Jannise Castillo | Pharmacy | 10635 W Atlantic Blvd, Coral Springs, FL 33071-5669 | 2019-10-24 |
| 1417418542 | Inga Lafferty | Pharmacy | 4650 N University Dr, Coral Springs, FL 33067-4626 | 2019-03-29 |
| 1285096610 | Scripts To You LLC | Pharmacy | 10235 W Sample Rd Ste 200, Coral Springs, FL 33065-3982 | 2016-03-24 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33076 |
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.