HOLIDAY CVS LLC (NPI# 1588768493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588768493 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03629 |
| Practice Address |
17172 Front Beach Rd Panama City Beach FL 32413-2365 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8502347874 |
| Practice Fax Number | 8502367834 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS) |
| 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 | 20213 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1046499 | 01 | |
| FL | 105580100 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03629 | 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 |
17172 FRONT BEACH RD |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32413-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023416161 | Amy Rebecca Robertson | Psychologist | 21903 Panama City Beach Pkwy Psychfittness, Panama City Beach, FL 32413 | 2014-12-05 |
| 1326454786 | Journeypure Panhandle LLC | Substance Abuse Rehabilitation Facility | 22219 Panama City Beack Pkwy, Panama City Beach, FL 32413 | 2014-07-07 |
| 1588087985 | The Sobriety Center LLC | Clinic/Center | 221 San Vincente St, Panama City Beach, FL 32413 | 2014-01-22 |
| 1588904593 | Wal-mart Stores East Lp | Technician/Technologist | 15495 Panama City Beach Pky, Panama Beach City, FL 32413 | 2013-02-28 |
| 1518178334 | Kennon Dental Associates Pa | Dentist | 2309 St Andrews, #b, Panama City, FL 32413 | 2007-05-24 |
| 1912050162 | Medical Services of Northwest Florida | Home Health | 17208 Back Beach Road, Panama City, FL 32413 | 2007-01-19 |
| 1467511840 | Frederick G Klepes Jr. | Dentist | 15450 Panama City Beach Pwky, Panama City Beach, FL 32413 | 2006-12-08 |
| 1013956572 | William Alan Woolery | Emergency Medicine | 11111 Panama City Beach Parkway, Panama City Beach, FL 32413 | 2006-06-06 |
| 1235125915 | Patsy Regina Merritt | Physical Therapist | 16201 Panama City Beach Pkwy Ste A, Panama City Beach, FL 32413 | 2005-09-27 |
| 1649716408 | Cynda St Cere | Nurse Practitioner | 23040 Panama City Beach Pkwy, Panama City Beach, FL 32413 | 2017-01-17 |
| Find all providers in zip 32413 | ||||
| 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 |
|---|---|---|---|---|
| 1033159470 | Publix Super Markets Inc | Pharmacy | 23026 Panama City Beach Pkwy, Panama City Beach, FL 32413-1107 | 2006-06-07 |
| 1659302784 | K Mart Corp | Pharmacy | 7100 W Highway 98, Panama City Beach, FL 32407-4801 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 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 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32413 |
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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.