HOLIDAY CVS LLC (NPI# 1649425448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649425448 |
Entity Type | Organization |
Organization Name | HOLIDAY CVS LLC |
Other Organization Name | CVS PHARMACY# 03703 |
Practice Address |
10925 State Road 54 New Port Richey FL 34655 |
Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
Practice Telephone | 7273729030 |
Mailing Telephone | 4017651500 |
Mailing Fax Number | 4017707108 |
Enumeration Date | 2008-11-20 |
Last Update Date | 2012-03-20 |
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 | 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 | 000645001 | 01 |
NCPDP | 1040093 | 01 | |
FL | 000645000 | 05 |
Other Name | Type Code |
---|---|
CVS PHARMACY# 03703 | 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 |
10925 STATE ROAD 54 |
City | NEW PORT RICHEY |
State | FL |
Zip Code | 34655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528250677 | Dawn Willey | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2007-08-13 |
1487286217 | Aimee Ann Davis | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2020-02-10 |
1164979746 | Nereida Jaime | Licensed Practical Nurse | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2016-09-01 |
1437559408 | Lakenya Chimere Wallace | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2014-08-27 |
1942613211 | Rebecca A Jonas | Nurse Practitioner | 10925 State Road 54, New Port Richey, FL 34655-2277 | 2014-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
Find all providers in zip 34655 |
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 |
---|---|---|---|---|
1245877406 | Richey Medical Pharmacy, LLC | Pharmacy | 5346 Grand Blvd, New Port Richey, FL 34652-4012 | 2019-12-06 |
1558876094 | Marine Park LLC | Pharmacy | 5016 Us Highway 19, New Port Richey, FL 34652-4253 | 2017-12-06 |
1497053920 | Anp Group LLC | Pharmacy | 5335 Main St, New Port Richey, FL 34652-2510 | 2011-03-08 |
1407152770 | St. Anthony's Pharmacy, LLC | Pharmacy | 6512 Us Highway 19, New Port Richey, FL 34652-2236 | 2011-02-04 |
1659513638 | Blake Pharmacy LLC | Pharmacy | 5628 Trouble Creek Rd, New Port Richey, FL 34652-5158 | 2009-04-06 |
1114166691 | Mnr Group LLC | Pharmacy | 6113 State Road 54, New Port Richey, FL 34653-6004 | 2009-02-06 |
1568530707 | Satellite Drugs and Pharmacy | Pharmacy | 4105 Little Rd, Ste 200, New Port Richey, FL 34655-1731 | 2006-12-04 |
1841383288 | Lurds Inc | Pharmacy | 6518 Main St, New Port Richey, FL 34653-3905 | 2006-09-30 |
1457372427 | Msp&ms Inc | Pharmacy | 6518 Massachusetts Ave, New Port Richey, FL 34653-2730 | 2006-07-22 |
1922039031 | K Mart Corp | Pharmacy | 5725 Us Highway 19, New Port Richey, FL 34652-2935 | 2006-07-06 |
Find all providers in NEW PORT RICHEY |
City | NEW PORT RICHEY |
Zip Code | 34655 |
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.