HOLIDAY CVS LLC


Address: 302 E James Lee Blvd, Crestview, FL 32539-2827
Phone: 8506821002

HOLIDAY CVS LLC (NPI# 1043313794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043313794
Entity Type Organization
Organization Name HOLIDAY CVS LLC
Other Organization Name CVS PHARMACY # 04015
Practice Address 302 E James Lee Blvd
Crestview
FL 32539-2827
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 8506821002
Mailing Telephone 4017651500
Enumeration Date 2006-09-07
Last Update Date 2012-11-01
Authorized Official Name SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy PH14346 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1052428 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY # 04015 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 302 E JAMES LEE BLVD
City CRESTVIEW
State FL
Zip Code 32539-2827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740227503 Christina Cerise Johnson Nurse Practitioner 302 E James Lee Blvd, Crestview, FL 32539-2827 2006-06-01
1164056404 Brittney Smith Pain Medicine 302 E James Lee Blvd, Crestview, FL 32539-2827 2020-02-25
1013377720 Michelle Therese Koski Nurse Practitioner 302 E James Lee Blvd, Crestview, FL 32539-2827 2016-02-24
1760729750 Nikki Windham Grace Nurse Practitioner 302 E James Lee Blvd, Crestview, FL 32539-2827 2013-01-10
1346597515 Lisa Teachnor Nurse Practitioner 302 E James Lee Blvd, Crestview, FL 32539-2827 2012-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326418336 Abc Pediatrics of Okaloosa Pediatrics 182 E. Redstone Ave, Suite B, Crestview, FL 32539 2015-10-02
1336498443 Jessica Carolina Carroll Counselor 259 E. Oakdale Ave, Crestview, FL 32539 2012-09-05
1902167166 Patricia Guess Registered Nurse 6011 Aubrey Lee Ln, Crestview, FL 32539 2012-06-05
1699048181 Chien Nguyen Clinical Medical Laboratory 151 East Redstone Avenue, Crestview, FL 32539 2012-02-15
1043494164 Crestview Mri Clinic/Center 700 Hospital Drive, Crestview, FL 32539 2007-12-26
1558581215 Barnes Healthcare of Fl LLC Durable Medical Equipment & Medical Supplies 450 Brookmeade Dr, Crestview, FL 32539 2007-04-26
1568576098 Okaloosa Youth Development Center Substance Abuse Rehabilitation Facility 4449 Straighline Road, Crestview, FL 32539 2006-08-19
1154368181 Marcello Borzatta Surgery 129 E. Redstone Ave, Suite A, Crestview, FL 32539 2006-05-31
1902850258 Panhandle Orthopaedics LLC Physical Therapist 710 Hospital Drive, Crestview, FL 32539 2006-05-20
1619941440 Yale R Smith Anesthesiology 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 2006-02-16
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861798613 Guardian Pharmacy of Nw Florida Pharmacy 212 N Wilson St, Crestview, FL 32536-3438 2011-01-26

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City CRESTVIEW
Zip Code 32539

Improve Information

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Dataset Information

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.

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