HOLIDAY CVS LLC (NPI# 1659393270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659393270 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #17053 |
| Practice Address |
10155 Okeechobee Blvd West Palm Beach FL 33411-1404 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5617842734 |
| Practice Fax Number | 5617842734 |
| 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 29628 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2011218 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17053 | 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 |
10155 OKEECHOBEE BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33411-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871499 | Artecia Barefield | Pharmacist | 10155 Okeechobee Blvd, West Palm Beach, FL 33411-1404 | 2014-08-05 |
| 1750704300 | Katharine Book Tamburro | Nurse Practitioner | 10155 Okeechobee Blvd, West Palm Beach, FL 33411-1404 | 2014-01-31 |
| 1558657775 | Victoria H Scott | Pharmacist | 10155 Okeechobee Blvd, T-1935, West Palm Beach, FL 33411-1404 | 2011-06-27 |
| 1356637045 | Sangita Patel | Pharmacist | 10155 Okeechobee Blvd, Target Pharmacy Store T-1935, West Palm Beach, FL 33411-1404 | 2011-06-22 |
| 1396040465 | Laura Allison Ballard | Nurse Practitioner | 10155 Okeechobee Blvd, West Palm Beach, FL 33411-1404 | 2011-01-20 |
| 1013023936 | Teresa A Kowalczyk-vitous | Nurse Practitioner | 10155 Okeechobee Blvd, West Palm Beach, FL 33411-1404 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| 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 |
|---|---|---|---|---|
| 1316318637 | A1ability Pharmacy Inc | Pharmacy | 999 Stinson Way Ste 301, West Palm Beach, FL 33411-3741 | 2015-10-13 |
| 1669892972 | Charles Pharmacy, LLC. | Pharmacy | 5081 Okeechobee Blvd, West Palm Beach, FL 33417-4533 | 2014-04-25 |
| 1619246378 | West Palm Pharmacy LLC | Pharmacy | 5760 Okeechobee Blvd, West Palm Beach, FL 33417-4343 | 2011-12-23 |
| 1700114030 | Farmacia Las Americas, LLC | Pharmacy | 1800 Forest Hill Blvd Ste B12, West Palm Beach, FL 33406-6070 | 2009-11-24 |
| 1235323098 | Md Omega Pharmacy | Pharmacy | 4915 S Dixie Hwy, West Palm Beach, FL 33405-2926 | 2007-09-04 |
| 1730385600 | Publix Super Markets Inc | Pharmacy | 926 S Military Trl, West Palm Beach, FL 33415-3910 | 2007-06-26 |
| 1518024116 | Drug Store and More Inc | Pharmacy | 8305 Garden Rd, Suite 1-3, West Palm Beach, FL 33404-1709 | 2007-01-02 |
| 1477620110 | Desoto Pharmacy | Pharmacy | 823 Southern Blvd, West Palm Beach, FL 33405-2529 | 2006-11-29 |
| 1518908003 | Publix Super Markets Inc | Pharmacy | 6820 Okeechobee Blvd, West Palm Beach, FL 33411-2510 | 2006-06-08 |
| 1770580292 | Commcare Pharmacy-wpb LLC | Pharmacy | 1689 Forum Pl, West Palm Beach, FL 33401-2303 | 2005-06-30 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33411 |
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.