HOLIDAY CVS LLC (NPI# 1629172523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629172523 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #03490 |
| Practice Address |
5650 Red Bug Lake Rd Winter Springs FL 32708-4904 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4076990781 |
| Practice Fax Number | 4076995720 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-09-10 |
| 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 | 20359 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1042465 | 01 | |
| FL | 105633600 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03490 | 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 |
5650 RED BUG LAKE RD |
| City | WINTER SPRINGS |
| State | FL |
| Zip Code | 32708-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356311872 | Mary Kay Morrison | Nurse Practitioner | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2006-01-26 |
| 1629675731 | Ember Joy Tangonan | Nurse Practitioner | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2020-10-02 |
| 1558761122 | Lindsay Jackson-drago | Nurse Practitioner | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2014-09-02 |
| 1548681190 | Yvonka Shedon Williams | Registered Nurse | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2013-12-29 |
| 1306178116 | Cary Maurice Brown | Pharmacist | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2010-02-03 |
| 1831365469 | Risalinda Funcion Rudio | Registered Nurse | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2008-05-04 |
| 1609848746 | Terri Lee Aplin | Nurse Practitioner | 5650 Red Bug Lake Rd, Winter Springs, FL 32708-4904 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
| 1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
| 1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
| 1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
| 1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
| 1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
| 1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
| 1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
| 1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
| 1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
| Find all providers in zip 32708 | ||||
| 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 |
|---|---|---|---|---|
| 1245661305 | George Pharmacy Care Corp. | Pharmacy | 701 E Sr 434 Ste 1051, Winter Springs, FL 32708-2701 | 2013-11-27 |
| 1831120963 | K Mart Corp | Pharmacy | 1425 Tuskawillaunit 225, Winter Springs, FL 32708 | 2006-07-06 |
| 1194118331 | Winter Springs Pharmacy LLC | Pharmacy | 5942 Red Bug Lake Rd, Winter Springs, FL 32708-5035 | 2015-03-12 |
| 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 | WINTER SPRINGS |
| Zip Code | 32708 |
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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.