HOLIDAY CVS LLC (NPI# 1659475572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659475572 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03686 |
| Practice Address |
30387 Us Highway 19 N Clearwater FL 33761-1053 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7277812955 |
| Practice Fax Number | 7277812965 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS) |
| 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 | ||
| Y | 333600000X | Pharmacy | 20303 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1052656 | 01 | |
| FL | 105774000 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03686 | 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 |
30387 US HIGHWAY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874050 | Minuteclinic Diagnostic of Florida LLC | Social Worker | 30387 Us Highway 19 N, Clearwater, FL 33761-1053 | 2020-09-02 |
| 1679181002 | Minuteclinic LLC | Social Worker | 30387 Us Highway 19 N, Clearwater, FL 33761-1053 | 2020-07-22 |
| 1437776242 | Brittany Morris | Nurse Practitioner | 30387 Us Highway 19 N, Clearwater, FL 33761-1053 | 2020-06-26 |
| 1144636804 | Maureen Healy | Nurse Practitioner | 30387 Us Highway 19 N, Clearwater, FL 33761-1053 | 2014-07-02 |
| 1992941579 | Rhia J Corsentino | Registered Nurse | 30387 Us Highway 19 N, Clearwater, FL 33761-1053 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1497383939 | Unity Express Pharmacy, Inc. | Pharmacy | 2340 State Road 580 Ste G, Clearwater, FL 33763-1137 | 2020-03-30 |
| 1184257743 | Streamlinerx | Pharmacy | 2861 Executive Dr Ste 210, Clearwater, FL 33762-3383 | 2020-02-21 |
| 1881151603 | Lincourt Pharmacy Corp | Pharmacy | 501 S Lincoln Ave Ste 10, Clearwater, FL 33756-5901 | 2019-02-28 |
| 1730540980 | Dap Pharmacy Management and Consulting Serv | Pharmacy | 2364 Sunset Point Rd, Clearwater, FL 33765-1423 | 2016-03-16 |
| 1184099921 | Clearwater Pharmacy LLC | Pharmacy | 4700 140th Ave N Ste 112, Clearwater, FL 33762-3847 | 2015-12-04 |
| 1902290471 | Tenthino LLC | Pharmacy | 28813 Us Highway 19 N, Clearwater, FL 33761-2583 | 2015-03-23 |
| 1770828741 | Alpha-omega Pharmacy | Pharmacy | 4625 E Bay Dr Ste 313, Clearwater, FL 33764-5747 | 2012-12-03 |
| 1205115656 | Mathew Management Inc | Pharmacy | 2090 Gulf To Bay Blvd, Clearwater, FL 33765-3714 | 2011-08-16 |
| 1740456417 | Anv Group LLC | Pharmacy | 30226 Us Highway 19 N, Clearwater, FL 33761-1042 | 2008-05-02 |
| 1407044035 | Baylife Pharmacy Inc | Pharmacy | 1235 S Missouri Ave, Clearwater, FL 33756-9111 | 2007-10-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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.