HOLIDAY CVS LLC (NPI# 1871739219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871739219 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #17434 |
| Practice Address |
3200 Rolling Oaks Blvd Kissimmee FL 34747-3052 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3216773972 |
| Practice Fax Number | 3216773982 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-01-06 |
| 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 29714 | FL | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118388 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17434 | 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 |
3200 ROLLING OAKS BLVD |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34747-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928630 | Maria Eduardo Rodulfo | Pharmacist | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2018-10-16 |
| 1720452840 | Dean Koskinas | Pharmacist | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2015-12-01 |
| 1053700252 | Afshaun Gibraun Haniff | Pharmacist | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2015-01-12 |
| 1528354073 | Bijal Patel | Pharmacist | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2011-06-23 |
| 1497040786 | Neel Parbhoo | Pharmacist | 3200 Rolling Oaks Blvd, T-2370, Kissimmee, FL 34747-3052 | 2011-06-14 |
| 1740428119 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2009-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| 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 |
|---|---|---|---|---|
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1386019115 | Central Avenue Pharmacy LLC | Pharmacy | 347 W Oak St, Kissimmee, FL 34741-4421 | 2015-12-04 |
| 1922367291 | Publix Super Markets Inc | Pharmacy | 2338 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-5401 | 2012-05-08 |
| 1588950414 | Dlka Holdings, LLC | Pharmacy | 1361 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2011-06-20 |
| 1841599644 | West Lake Pharmacy Inc | Pharmacy | 2544 Simpson Rd, Kissimmee, FL 34744-4637 | 2011-03-18 |
| 1588966568 | Mahimn Rx LLC | Pharmacy | 805 E Oak St Ste 2, Kissimmee, FL 34744-4576 | 2010-11-24 |
| 1164461075 | Publix Super Markets Inc | Pharmacy | 3343 S Orange Blossom Trl, Kissimmee, FL 34746-6565 | 2006-06-06 |
| 1396221867 | Gatus Enterprise, Pllc | Pharmacy | 22 Broadway, Kissimmee, FL 34741-5408 | 2018-07-17 |
| 1629423074 | Phamily Pharmacy LLC | Pharmacy | 407 W Oak St, Kissimmee, FL 34741-4931 | 2016-05-03 |
| 1538523253 | Svs Health Inc | Pharmacy | 1100 N John Young Pkwy, Kissimmee, FL 34741-4201 | 2016-04-08 |
| Find all providers in KISSIMMEE | ||||
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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.