HOLIDAY CVS LLC (NPI# 1790889764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790889764 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03866 |
| Practice Address |
11586 Us Highway 1 Palm Beach Gardens FL 33408-3019 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5616220702 |
| Practice Fax Number | 5616226245 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| 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 | 20416 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105821500 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1055359 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03866 | 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 |
11586 US HIGHWAY 1 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33408-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376697789 | Quyen Dinh | Pharmacist | 11586 Us Highway 1, Palm Beach Gardens, FL 33408-3019 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457585 | Naomi Bollaci | Pharmacist | 314 Northlake Blvd, North Palm Beach, FL 33408 | 2020-08-12 |
| 1740750306 | Dihana C Ruiz | Nurse Practitioner | 631 Us Highway One Suite 309, North Palm Beach, FL 33408 | 2018-11-27 |
| 1487121117 | Chancellor Medical | Durable Medical Equipment & Medical Supplies | 1224 N. Federal Highway, Suite D, North Palm Beach, FL 33408 | 2018-10-31 |
| 1538679535 | Jennifer Guldager | Physician Assistant | 11951 Us Highway 1 Ste 108, North Palm Beach, FL 33408 | 2017-10-04 |
| 1134646581 | Live Now Physical Therapy Inc. | Clinic/Center | 873 Fathom Rd W, North Palm Beach, FL 33408 | 2017-08-26 |
| 1912424573 | Magdalena Orosz | Clinical Medical Laboratory | 20 Celestial Way #205, Juno Beach, FL 33408 | 2017-08-24 |
| 1205377173 | Premier Compounding Pharmacy, Inc. | Pharmacy | 2000 Pga Blvd., Suite 5507, Palm Beach Gardens, FL 33408 | 2017-03-13 |
| 1841742160 | Anne Hart Rajawat | Speech-Language Pathologist | 1201 Us 1 Ste 210, North Palm Beach, FL 33408 | 2016-11-03 |
| 1801342605 | Lindsey Kelly | Occupational Therapist | 1201 U.S. Highway One, Suite 215, North Palm Beach, FL 33408 | 2016-08-31 |
| 1346694205 | Stephanie Lynch Therapy Inc. | Counselor | 513 Us Hwy #1, 213, North Palm Beach, FL 33408 | 2016-04-18 |
| Find all providers in zip 33408 | ||||
| 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 |
|---|---|---|---|---|
| 1710403043 | Kustom Wellness, Inc | Pharmacy | 4550 Donald Ross Rd Ste 113, Palm Beach Gardens, FL 33418-5104 | 2017-08-18 |
| 1205377173 | Premier Compounding Pharmacy, Inc. | Pharmacy | 2000 Pga Blvd., Suite 5507, Palm Beach Gardens, FL 33408 | 2017-03-13 |
| 1053762260 | Northlake Pharmacy LLC | Pharmacy | 9091 N Military Trl Ste 17, Palm Beach Gardens, FL 33410-5983 | 2016-06-29 |
| 1821301706 | Publix Super Markets Inc | Pharmacy | 4101 Hood Rd, Palm Beach Gardens, FL 33410-2171 | 2010-07-20 |
| 1700825759 | Publix Super Markets Inc | Pharmacy | 9900 Alternate A1a, Palm Beach Gardens, FL 33410-4903 | 2006-06-05 |
| 1700823234 | Albertsons LLC | Pharmacy | 4407 Northlake Blvd, Palm Beach Gardens, FL 33410-6255 | 2006-06-01 |
| 1467439927 | Gardens Drugs Inc | Pharmacy | 10800 N Military Trl, Suite 119, Palm Beach Gardens, FL 33410-6500 | 2005-12-27 |
| 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 | PALM BEACH GARDENS |
| Zip Code | 33408 |
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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.