HOLIDAY CVS LLC (NPI# 1225132186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225132186 |
Entity Type | Organization |
Organization Name | HOLIDAY CVS LLC |
Other Organization Name | CVS PHARMACY 05079 |
Practice Address |
10241 W Broward Blvd Plantation FL 33324-2114 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 9542360769 |
Practice Fax Number | 9544745214 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2012-07-16 |
Authorized Official Name | SUSAN F 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 | 20754 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1076834 | 01 | |
FL | 105705700 | 05 |
Other Name | Type Code |
---|---|
CVS PHARMACY 05079 | 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 |
10241 W BROWARD BLVD |
City | PLANTATION |
State | FL |
Zip Code | 33324-2114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215952122 | Seyed Sadeghi | Nurse Practitioner | 10241 W Broward Blvd, Plantation, FL 33324-2114 | 2006-07-12 |
1225635808 | Kathleen Renee Price | Nurse Practitioner | 10241 W Broward Blvd, Plantation, FL 33324-2114 | 2020-10-06 |
1356608277 | Kathryn Rose Pebanco | Nurse Practitioner | 10241 W Broward Blvd, Plantation, FL 33324-2114 | 2012-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
Find all providers in zip 33324 |
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 |
---|---|---|---|---|
1427352939 | Premier Family Pharmacy | Pharmacy | 159 N State Rd 7, Plantation, FL 33317 | 2010-12-28 |
1912216490 | Weight and Wellness Inc | Pharmacy | 1868 N University Dr Ste 105, Plantation, FL 33322-4110 | 2010-09-30 |
1801122858 | Focus On Health Rx, LLC | Pharmacy | 5301 W Broward Blvd, Plantation, FL 33317-2611 | 2009-10-27 |
1306972708 | Specialty Care Rx | Pharmacy | 1856 N Pine Island Rd, Plantation, FL 33322-5202 | 2007-02-27 |
1427096809 | Aetna Rx Home Delivery | Pharmacy | 1600 Sw 80th Ter, 2nd Floor, Plantation, FL 33324-4049 | 2006-06-04 |
1093752529 | Albertsons LLC | Pharmacy | 1181 S University Dr, Plantation, FL 33324-3322 | 2006-06-01 |
1598762015 | Commcare Pharmacy-ftl LLC | Pharmacy | 855 Sw 78th Ave, Ste C100, Plantation, FL 33324-3223 | 2005-06-30 |
1730183310 | Intramed Inc | Pharmacy | 6950 Cypress Rd Ste 105, Plantation, FL 33317-2361 | 2005-06-10 |
1093213662 | Can Community Health Inc. | Pharmacy | 4101 Nw 3rd Ct, Unit 9, Plantation, FL 33317-2857 | 2018-01-29 |
1568908622 | Eco Pharmacy LLC | Pharmacy | 801 S University Dr, Suite C134, Plantation, FL 33324-3336 | 2017-01-13 |
Find all providers in PLANTATION |
City | PLANTATION |
Zip Code | 33324 |
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.