HOLIDAY CVS LLC (NPI# 1962506949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962506949 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 01807 |
| Practice Address |
1350 Lee Blvd Lehigh Acres FL 33936-4846 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2393692163 |
| Practice Fax Number | 2393687497 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-09-11 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 20742 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105903300 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1004845 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 01807 | 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 |
1350 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468636 | Danielle Lashawn Russell | Nurse Practitioner | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 | 2019-10-16 |
| 1124502018 | Lisa Wilson | Nurse Practitioner | 1350 Lee Blvd, Lehigh Acres, FL 33936 | 2018-09-18 |
| 1922414242 | Sommer Holloway | Nurse Practitioner | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 | 2014-07-08 |
| 1053657585 | Antoinette Suzette Sanabria | Pharmacist | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 | 2013-01-03 |
| 1336450725 | Melanie Elizabeth Harrison | Nurse Practitioner | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| 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 |
|---|---|---|---|---|
| 1326585035 | Univv II Inc | Pharmacy | 700 Leeland Heights Blvd W Ste 100, Suite-100, Lehigh Acres, FL 33936-6662 | 2017-01-20 |
| 1053669630 | Arth LLC | Pharmacy | 1446 Lee Blvd, Lehigh Acres, FL 33936-4850 | 2012-08-29 |
| 1528333283 | Lehigh Pharmacy & Supplies Inc | Pharmacy | 5513 8th St W Ste 1, Lehigh Acres, FL 33971-6349 | 2012-03-14 |
| 1407833437 | Aryan Retail LLC | Pharmacy | 57 Homestead Rd N, Lehigh Acres, FL 33936-6607 | 2005-12-30 |
| 1497157424 | Publix Super Markets Inc | Pharmacy | 1328 Homestead Rd N, Lehigh Acres, FL 33936-6024 | 2014-09-22 |
| 1639500275 | Univv Inc | Pharmacy | 2814 Lee Blvd, Unit-1, Lehigh Acres, FL 33971-1567 | 2013-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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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.