HOLIDAY CVS LLC (NPI# 1346880481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346880481 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #17786 |
| Practice Address |
1906 Ponce De Leon Boulvard Coral Gables FL 33134 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 3054597202 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NCPDP | 5743516 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17786 | 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 |
| 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 |
| 1932647906 | Holiday Cvs LLC | Non-Pharmacy Dispensing Site | 12000 Sw 8th St, Miami, FL 33184-1634 | 2017-02-09 |
| Street Address |
1906 PONCE DE LEON BOULVARD |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| 1467934513 | Doctors Healthcare Plans, Inc | Health Maintenance Organization | 2020 Ponce De Leon Blvd Ste 901, Coral Gables, FL 33134 | 2018-09-05 |
| Find all providers in zip 33134 | ||||
| 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 |
|---|---|---|---|---|
| 1083111496 | Benitez Pharmacy Corp | Pharmacy | 4769 Sw 8th St, Coral Gables, FL 33134-2546 | 2018-04-11 |
| 1417381906 | Angels Touch Pharmacy Dicount Corp | Pharmacy | 4338 Sw 8thst, Coral Gables, FL 33134 | 2013-09-03 |
| 1174892319 | Live Rx Pharmacy Inc | Pharmacy | 4750 W Flagler St, Coral Gables, FL 33134-1452 | 2011-12-16 |
| 1518235100 | Cma Pharmacy & Supplies Corp | Pharmacy | 5549 Sw 8 Street, Coral Gables, FL 33134 | 2011-12-09 |
| 1669688842 | Poc Network Technologies Inc | Pharmacy | 2332 Galiano St, Suite 250, Coral Gables, FL 33134-5402 | 2007-05-15 |
| 1437649993 | Advance Pharmacy Ph Corp | Pharmacy | 5143 Sw 8th St, Suite A, Coral Gables, FL 33134-2442 | 2018-05-10 |
| 1346612256 | Paramount Pharmacy Inc | Pharmacy | 5540 Sw 8th St, Coral Gables, FL 33134-2220 | 2015-10-30 |
| 1508245317 | Us Pharmacy and Discount Corp | Pharmacy | 5545 Sw 8th St, Suite 104, Coral Gables, FL 33134-2274 | 2015-05-26 |
| 1083049514 | Independence Pharmacyand Discount Inc | Pharmacy | 5143 Sw 8th St, Suite A, Coral Gables, FL 33134-2442 | 2013-09-03 |
| 1932451556 | Trio Pharmacy, Inc. | Pharmacy | 5587 Sw 8th St, Coral Gables, FL 33134-2219 | 2012-10-05 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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.