HOLIDAY CVS LLC (NPI# 1689696205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689696205 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #16207 |
| Practice Address |
4711 Bayou Blvd Pensacola FL 32503-2607 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8504949077 |
| Practice Fax Number | 8504664667 |
| 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 29684 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2011127 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16207 | 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 |
4711 BAYOU BLVD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240797 | Brian Patrick Harrison | Pharmacist | 4711 Bayou Blvd, Pharmacy Department, Pensacola, FL 32503-2607 | 2006-01-23 |
| 1285984898 | Kelly Anne Hancock | Pharmacist | 4711 Bayou Blvd, Pensacola, FL 32504 | 2012-09-12 |
| 1528316247 | Teara Mcclendon | Pharmacist | 4711 Bayou Blvd, Pensacola, FL 32503-2607 | 2012-08-28 |
| 1912271974 | Shelby Rose Troendle | Pharmacist | 4711 Bayou Blvd, Pensacola, FL 32503-2607 | 2012-03-07 |
| 1700170925 | Melissa Denise Bailey | Pharmacist | 4711 Bayou Blvd, T-0686, Pensacola, FL 32503-2607 | 2011-06-06 |
| 1578857793 | Derek Casey Stephens | Pharmacist | 4711 Bayou Blvd, Target Pharmacy Store Number T-0686, Pensacola, FL 32503-2607 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1922415140 | Physician Specialty Pharmacy LLC | Pharmacy | 6258 N W St, Pensacola, FL 32505-1903 | 2014-07-21 |
| 1457417347 | Andersons Thrif-t Drugs Inc | Pharmacy | 4350 Bayou Blvd, Pensacola, FL 32503-1948 | 2006-12-28 |
| 1245342179 | Marando Inc | Pharmacy | 5507 N W St, Pensacola, FL 32505-2435 | 2006-08-31 |
| 1922113125 | Brunos Inc | Pharmacy | 3 W Nine Mile Rd, Pensacola, FL 32534-1279 | 2006-08-20 |
| 1841221959 | K Mart Corp | Pharmacy | 4211 Mobile Hwy, Pensacola, FL 32506-4205 | 2006-07-06 |
| 1750327219 | Rx Advantage Inc | Pharmacy | 2256 W Nine Mile Rd Ste B, Pensacola, FL 32534-9471 | 2006-06-22 |
| 1568409993 | Albertsons LLC | Pharmacy | 5055 N 9th Ave, Pensacola, FL 32504-8719 | 2006-06-02 |
| 1811934342 | Albertsons LLC | Pharmacy | 5998 Mobile Hwy, Pensacola, FL 32526-1873 | 2006-06-01 |
| 1760429435 | Albertsons LLC | Pharmacy | 2180 W Nine Mile Rd, Pensacola, FL 32534-9472 | 2006-06-01 |
| 1063459519 | Albertsons LLC | Pharmacy | 9251 University Pkwy, Pensacola, FL 32514-5531 | 2006-06-01 |
| Find all providers in PENSACOLA | ||||
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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.