HOLIDAY CVS LLC (NPI# 1770505398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770505398 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #16183 |
| Practice Address |
15240 N Dale Mabry Hwy Tampa FL 33618-1809 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8139626133 |
| Practice Fax Number | 8132807040 |
| 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 29700 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2010891 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16183 | 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 |
15240 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023480399 | Nermine Kerollous | Pharmacist | 15240 N Dale Mabry Hwy, Tampa, FL 33618-1809 | 2015-10-27 |
| 1730583048 | Sarah Mckee | Pharmacist | 15240 N Dale Mabry Hwy, Tampa, FL 33618-1809 | 2014-10-15 |
| 1700291846 | Vanessa Hardy | Pharmacist | 15240 N Dale Mabry Hwy, Tampa, FL 33618-1809 | 2014-06-27 |
| 1275828816 | Linda E Dodson | Pharmacist | 15240 N Dale Mabry Hwy, Tampa, FL 33618-1809 | 2011-06-11 |
| 1649564923 | John W. Batten IIi | Pharmacist | 15240 N Dale Mabry Hwy, Tampa, FL 33618-1809 | 2011-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| 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 |
|---|---|---|---|---|
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1053804591 | Nagaindra Srivastav | Pharmacy | 17931 Cachet Isle Dr, Tampa, FL 33647-2703 | 2018-06-09 |
| 1902393556 | Perla C Beltran | Pharmacy | 3632 S Renellie Dr, Tampa, FL 33629-8350 | 2018-04-19 |
| 1215437694 | Tita Healthcare Inc. | Pharmacy | 12811 N Nebraska Ave Ste J, Tampa, FL 33612-4401 | 2018-02-13 |
| 1548789605 | Positiverx | Pharmacy | 1420 W Waters Ave # 1, Tampa, FL 33604-2830 | 2017-09-11 |
| 1346766482 | Genoa Healthcare, LLC | Pharmacy | 12512 Bruce B Downs Blvd Ste A142, Tampa, FL 33612-9209 | 2017-08-21 |
| 1093237000 | Shri Aarna Rx LLC | Pharmacy | 3134 E Hillsborough Ave, Tampa, FL 33610-4528 | 2017-07-11 |
| 1730618554 | Rightback LLC | Pharmacy | 6802 W Hillsborough Ave Ste 12, Tampa, FL 33634-5004 | 2017-06-06 |
| 1558817783 | Plamyra Pharmacy LLC | Pharmacy | 4817 E Busch Blvd, Tampa, FL 33617 | 2016-08-28 |
| 1336694926 | U & J Healthcare LLC | Pharmacy | 6308 N Florida Ave, Tampa, FL 33604-6628 | 2016-08-24 |
| Find all providers in TAMPA | ||||
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| 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.