HOLIDAY CVS LLC (NPI# 1306949052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306949052 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #04177 |
| Practice Address |
2100 W Cervantes St Pensacola FL 32505-7145 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8504389272 |
| 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 |
| 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 | PH14382 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1077812 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04177 | 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 |
2100 W CERVANTES ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32505-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437586591 | Thomas D Stewart Jr. | Pharmacist | 2100 W Cervantes St, Pensacola, FL 32505-7145 | 2013-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203610 | Tekisha S Steele | Homemaker | 4503 Lemoyne Lane, Pensacola, FL 32505 | 2020-07-28 |
| 1225491269 | Darren Hohaus | Counselor | Florida Therapy Services, Inc., 6520 N. Pensacola Blvd., Office Park North, 2nd Building, Pensacola, FL 32505 | 2016-03-29 |
| 1881933091 | Elizabeth Anne Cremeans | Occupational Therapist | 325 W. Airport Blvd, Pensacola, FL 32505 | 2013-02-07 |
| 1134488596 | Daniel L Christensen | Orthopaedic Surgery | 6000 N W St # Us-98, Pensacola, FL 32505 | 2012-05-04 |
| 1447553128 | Stern Family Chiropractic, LLC | Chiropractor | 5505 North W Street, Pensacola, FL 32505 | 2010-12-17 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1497809594 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6810 N. Davis Highway, Pensacola, FL 32505 | 2007-01-23 |
| 1578658308 | James J Adams | Pharmacist | 5975 Mobile Highway, Pensacola, FL 32505 | 2006-10-04 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| Find all providers in zip 32505 | ||||
| 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 |
|---|---|---|---|---|
| 1922415140 | Physician Specialty Pharmacy LLC | Pharmacy | 6258 N W St, Pensacola, FL 32505-1903 | 2014-07-21 |
| 1457417347 | Andersons Thrif-t Drugs Inc | Pharmacy | 4350 Bayou Blvd, Pensacola, FL 32503-1948 | 2006-12-28 |
| 1245342179 | Marando Inc | Pharmacy | 5507 N W St, Pensacola, FL 32505-2435 | 2006-08-31 |
| 1922113125 | Brunos Inc | Pharmacy | 3 W Nine Mile Rd, Pensacola, FL 32534-1279 | 2006-08-20 |
| 1841221959 | K Mart Corp | Pharmacy | 4211 Mobile Hwy, Pensacola, FL 32506-4205 | 2006-07-06 |
| 1750327219 | Rx Advantage Inc | Pharmacy | 2256 W Nine Mile Rd Ste B, Pensacola, FL 32534-9471 | 2006-06-22 |
| 1568409993 | Albertsons LLC | Pharmacy | 5055 N 9th Ave, Pensacola, FL 32504-8719 | 2006-06-02 |
| 1811934342 | Albertsons LLC | Pharmacy | 5998 Mobile Hwy, Pensacola, FL 32526-1873 | 2006-06-01 |
| 1760429435 | Albertsons LLC | Pharmacy | 2180 W Nine Mile Rd, Pensacola, FL 32534-9472 | 2006-06-01 |
| 1063459519 | Albertsons LLC | Pharmacy | 9251 University Pkwy, Pensacola, FL 32514-5531 | 2006-06-01 |
| Find all providers in PENSACOLA | ||||
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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.