HOLIDAY CVS LLC (NPI# 1457373003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457373003 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #16848 |
| Practice Address |
4750 Millenia Plaza Way Orlando FL 32839-2434 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4075410020 |
| Practice Fax Number | 4075410020 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | SUSAN 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 |
PH 29711 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015250 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16848 | 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 |
4750 MILLENIA PLAZA WAY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073066049 | Amanda Catherine Kaufman | Pharmacist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2016-07-26 |
| 1780011858 | Kandice Rollins | Pharmacist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2013-10-03 |
| 1639434566 | Nicholas Le Od LLC | Optometrist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2012-07-06 |
| 1659658920 | Sahar Esmaeilzadeh | Pharmacist | 4750 Millenia Plaza Way, T1518, Orlando, FL 32839-2434 | 2011-11-14 |
| 1295012987 | Scott Kierenia | Pharmacist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2011-11-08 |
| 1982991840 | Edward A Brouillette | Pharmacist | 4750 Millenia Plaza Way, T-1518, Orlando, FL 32839-2434 | 2011-06-29 |
| 1942595137 | Stanley Gecosky | Pharmacist | 4750 Millenia Plaza Way, T-1518, Orlando, FL 32839-2434 | 2011-06-15 |
| 1790934529 | Nicholas T Le | Optometrist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2008-09-17 |
| 1689793234 | Josette Salazar | Optometrist | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2007-03-28 |
| 1770657009 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4750 Millenia Plaza Way, Orlando, FL 32839-2434 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| 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] |
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| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1144713850 | Eir Health LLC | Pharmacy | 120 E Marks St, Ste 250, Orlando, FL 32803-3857 | 2018-06-08 |
| 1558862086 | Keyona LLC | Pharmacy | 7790 Lake Underhill Rd Ste 104, Orlando, FL 32822-8216 | 2018-02-21 |
| 1659822799 | Orlando Health Inc | Pharmacy | 7243 Della Dr Ste F, Orlando, FL 32819-5106 | 2016-10-24 |
| 1598215675 | Tristar Discount Pharmacy LLC | Pharmacy | 1502 N Semoran Blvd Ste 154, Orlando, FL 32807-3545 | 2016-10-12 |
| 1437514544 | Pack4u Corp | Pharmacy | 7531 Currency Dr, Orlando, FL 32809-6922 | 2015-12-17 |
| 1073978110 | Jtj Medical Supply Inc | Pharmacy | 1301 W Colonial Dr Ste 102, Orlando, FL 32804-7133 | 2015-12-16 |
| Find all providers in ORLANDO | ||||
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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.