HOLIDAY CVS LLC (NPI# 1659393205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393205 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #17288 |
| Practice Address |
650 N Congress Ave Boynton Beach FL 33426-3445 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5613962203 |
| Practice Fax Number | 5613962213 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH 29751 | FL | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2014062 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17288 | 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 |
650 N CONGRESS AVE |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952789927 | Stan S Choi Pa | Optometrist | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2015-05-11 |
| 1801215025 | Matthew Francis Davenport | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426 | 2014-04-15 |
| 1689010860 | Summer Anne Rawls | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2013-05-15 |
| 1356690507 | Nicole Conway | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2012-09-04 |
| 1386990968 | Christina Baker | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2012-08-01 |
| 1811269038 | Betty Angerville | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2012-02-03 |
| 1871889071 | Zarinah Taylor | Pharmacist | 650 N Congress Ave, T-2210, Boynton Beach, FL 33426-3445 | 2011-06-26 |
| 1013202993 | Farzad Tafazzoli | Pharmacist | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2011-06-18 |
| 1104131937 | Stan S Choi | Optometrist | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2010-08-17 |
| 1649504937 | Michelle M Smith | Nurse Practitioner | 650 N Congress Ave, Boynton Beach, FL 33426-3445 | 2009-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| 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 |
|---|---|---|---|---|
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1578972204 | Pharm-assist Consultants | Pharmacy | 7827 Lando Ave, Boynton Beach, FL 33437-6359 | 2014-08-06 |
| 1306182670 | Rightchoice Pharmacy LLC | Pharmacy | 709 S Federal Hwy Ste 1, Boynton Beach, FL 33435-5610 | 2012-12-14 |
| 1164724167 | Drug World | Pharmacy | 8050 Aberdeen Dr, #201, Boynton Beach, FL 33472-2915 | 2010-11-23 |
| 1386684249 | Publix Super Markets Inc | Pharmacy | 4966 Lechalet Blvd, Boynton Beach, FL 33436 | 2006-06-08 |
| 1245270628 | Publix Super Markets Inc | Pharmacy | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2006-06-07 |
| 1699714642 | Publix Super Markets Inc | Pharmacy | 4770 N Congress Ave, Boynton Beach, FL 33426-7952 | 2006-06-05 |
| 1679510341 | Albertsons LLC | Pharmacy | 9839 S Military Trl, Boynton Beach, FL 33436-3202 | 2006-06-01 |
| 1831173368 | First Choice Infusion LLC | Pharmacy | 3800 S Congress Ave, Suite 11, Boynton Beach, FL 33426 | 2005-11-29 |
| 1760745061 | Publix Super Markets Inc | Pharmacy | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2012-06-21 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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.