HOLIDAY CVS LLC (NPI# 1356445258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356445258 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #03401 |
| Practice Address |
12955 Sw 112th St Miami FL 33186-4768 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3053824161 |
| Practice Fax Number | 3053882045 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | SUSAN 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 | 20253 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1043140 | 01 | |
| FL | 105852500 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03401 | 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 |
12955 SW 112TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356971329 | Laura Sims Munzenmaier | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2020-01-18 |
| 1306484993 | Lorraine Lee Freytes | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2019-12-15 |
| 1700303708 | Itzamarie Rosado | Pharmacist | 12955 Sw 112th St, Miami, FL 33186-4768 | 2017-08-29 |
| 1720518137 | Susana Sanchez | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2017-06-18 |
| 1386016483 | Kaitlin Larrieu | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186 | 2015-10-28 |
| 1336483080 | Mialing Velez | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2012-11-19 |
| 1932478385 | Yamini Palvadi | Pharmacist | 12955 Sw 112th St, Miami, FL 33186-4768 | 2011-12-14 |
| 1154577732 | Charlyne Gabriel-jacques | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2008-08-14 |
| 1003094855 | Lilia Diaz Pino | Nurse Practitioner | 12955 Sw 112th St, Minuteclinic, Miami, FL 33186-4768 | 2008-02-04 |
| 1417049388 | Beverly E Powell - Sadler | Nurse Practitioner | 12955 Sw 112th St, Miami, FL 33186-4768 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| 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 |
|---|---|---|---|---|
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1417599119 | Tu Familia Farmacia, LLC | Pharmacy | 1710 Nw 7th St Ste 89, Miami, FL 33125-3520 | 2019-10-14 |
| 1316590987 | Gls Pharmacy LLC | Pharmacy | 15680 Sw 72nd St, Miami, FL 33193-1923 | 2019-07-22 |
| 1003373580 | Best Care Pharmacy Inc | Pharmacy | 2655 Nw 20th St, Miami, FL 33142-7105 | 2019-02-21 |
| 1760948855 | Q Pharmacy & Discount Inc. | Pharmacy | 1555 Nw 36th St, Miami, FL 33142-5559 | 2019-02-14 |
| 1144710757 | University of Miami | Pharmacy | 1800 Nw 10th Ave Rm 157, Miami, FL 33136-1018 | 2018-05-18 |
| 1720582828 | Borinquen Health Care Center Inc | Pharmacy | 3601 Federal Hwy Ste 125, Miami, FL 33137-3795 | 2018-03-22 |
| 1750838967 | Taquechel Pharmacy LLC | Pharmacy | 439 Nw 12th Ave, Miami, FL 33128-1020 | 2016-09-06 |
| 1558816231 | New Life Pharmacy Inc | Pharmacy | 22149 S Dixie Hwy, Miami, FL 33170-2840 | 2016-08-23 |
| 1447602529 | Ivonne Garcia | Pharmacy | 17324 Sw 108th Ct, Miami, FL 33157-4004 | 2016-07-12 |
| Find all providers in MIAMI | ||||
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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.