HOLIDAY CVS LLC (NPI# 1275637142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275637142 |
Entity Type | Organization |
Organization Name | HOLIDAY CVS LLC |
Other Organization Name | CVS PHARMACY 05204 |
Practice Address |
955 W 23rd St Panama City FL 32405-3928 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 8507693366 |
Practice Fax Number | 8507698015 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2012-12-14 |
Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS) |
Authorized Official Telephone | 4017702937 |
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 | 20111 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 021440000 | 05 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1085946 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY 05204 | 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 |
955 W 23RD ST |
City | PANAMA CITY |
State | FL |
Zip Code | 32405-3928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
Find all providers in zip 32405 |
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 |
---|---|---|---|---|
1083129175 | Jay Care Pharmacy LLC | Pharmacy | 1212 W 23rd St, Panama City, FL 32405-3609 | 2017-12-11 |
1528202447 | Coastalmed of Florida LLC | Pharmacy | 433 N Macarthur Ave, Panama City, FL 32401-3767 | 2009-04-22 |
1013011063 | Laurelpharm LLC | Pharmacy | 440 N Cove Blvd, Panama City, FL 32401-3726 | 2006-09-12 |
1710924246 | Albertsons LLC | Pharmacy | 2329 Martin Luther King Jr Blvd, Panama City, FL 32405-4403 | 2006-06-01 |
1053398479 | Bpsg L.L.C. | Pharmacy | 1401 W 15th St, Panama City, FL 32401-1739 | 2005-12-28 |
1801206552 | Bay Rx Pharmacy | Pharmacy | 610 E Baldwin Rd, Panama City, FL 32405-4208 | 2014-05-03 |
1013345115 | Publix Pharmacy | Pharmacy | 650 W 23rd St, Panama City, FL 32405-3921 | 2013-10-29 |
1285987982 | Panama City Drugs Corp | Pharmacy | 3127 E Highway 98, Panama City, FL 32401-5415 | 2012-10-18 |
1164742334 | Gulf Pharmacy Corp | Pharmacy | 340 W 23rd St, Suite D2, Panama City, FL 32405-7600 | 2010-06-10 |
1568506582 | Cooper Drug Co Inc | Pharmacy | 700 E Business Hwy 98, Panama City, FL 32401-3614 | 2007-02-16 |
Find all providers in PANAMA CITY |
City | PANAMA CITY |
Zip Code | 32405 |
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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.