HOLIDAY CVS LLC (NPI# 1528162492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528162492 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #02761 |
| Practice Address |
5308 W Irlo Bronson Memorial Hwy Kissimmee FL 34746-4754 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4073909431 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-08-16 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH17699 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1091901 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02761 | 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 |
5308 W IRLO BRONSON MEMORIAL HWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235179938 | Faye Anne Ellis | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2006-06-08 |
| 1811516594 | Maureen Ann Jackson | Pharmacist | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2020-04-13 |
| 1346869153 | Shannon Bailey | Pharmacist | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2020-04-11 |
| 1528491370 | Opeyemi Oludele Aina-white | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2013-08-15 |
| 1093055659 | Lyne G Pierre | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2013-02-19 |
| 1336484153 | Elizabeth Erin Chaney | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2012-12-05 |
| 1295031094 | Judeline Docteur | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| 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 |
|---|---|---|---|---|
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1386019115 | Central Avenue Pharmacy LLC | Pharmacy | 347 W Oak St, Kissimmee, FL 34741-4421 | 2015-12-04 |
| 1922367291 | Publix Super Markets Inc | Pharmacy | 2338 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-5401 | 2012-05-08 |
| 1588950414 | Dlka Holdings, LLC | Pharmacy | 1361 E Osceola Pkwy, Kissimmee, FL 34744-1605 | 2011-06-20 |
| 1841599644 | West Lake Pharmacy Inc | Pharmacy | 2544 Simpson Rd, Kissimmee, FL 34744-4637 | 2011-03-18 |
| 1588966568 | Mahimn Rx LLC | Pharmacy | 805 E Oak St Ste 2, Kissimmee, FL 34744-4576 | 2010-11-24 |
| 1164461075 | Publix Super Markets Inc | Pharmacy | 3343 S Orange Blossom Trl, Kissimmee, FL 34746-6565 | 2006-06-06 |
| 1396221867 | Gatus Enterprise, Pllc | Pharmacy | 22 Broadway, Kissimmee, FL 34741-5408 | 2018-07-17 |
| 1629423074 | Phamily Pharmacy LLC | Pharmacy | 407 W Oak St, Kissimmee, FL 34741-4931 | 2016-05-03 |
| 1538523253 | Svs Health Inc | Pharmacy | 1100 N John Young Pkwy, Kissimmee, FL 34741-4201 | 2016-04-08 |
| Find all providers in KISSIMMEE | ||||
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.