HOLIDAY CVS LLC (NPI# 1861049090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861049090 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY # 11239 |
| Practice Address |
11521 Sr 70 East Bradenton FL 34202 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 9412426876 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | SUSAN F 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NCPDP | 5742261 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 11239 | 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 |
| 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 |
| 1932647906 | Holiday Cvs LLC | Non-Pharmacy Dispensing Site | 12000 Sw 8th St, Miami, FL 33184-1634 | 2017-02-09 |
| Street Address |
11521 SR 70 EAST |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| 1366942013 | First Harbour Medical Centers, LLC | Non-Pharmacy Dispensing Site | 14616 E State Road 70, Lakewood Ranch, FL 34202 | 2018-02-20 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 1346754777 | Malooka Pharma Corp | Pharmacy | 8618 E State Road 70, Bradenton, FL 34202-3785 | 2017-11-21 |
| 1255770459 | Sun Pharmacy Services LLC | Pharmacy | 3549 1st St, Bradenton, FL 34208-4441 | 2013-06-20 |
| 1770668188 | Mcr Health, Inc. | Pharmacy | 1505 26th Ave E, Bradenton, FL 34208-7707 | 2006-10-25 |
| 1255414645 | Garrett's Pharmacies Inc | Pharmacy | 1804 59th St. West, Bradenton, FL 34209-4616 | 2006-10-23 |
| 1407873706 | Wal-mart Stores East Lp | Pharmacy | 6225 E State Road 64, Bradenton, FL 34208-6244 | 2006-07-16 |
| 1942240387 | Publix Super Markets Inc | Pharmacy | 7310 Manatee Ave W, Bradenton, FL 34209-3441 | 2006-06-07 |
| 1033159447 | Publix Super Markets Inc | Pharmacy | 5001 E State Road 64, Bradenton, FL 34208-5531 | 2006-06-07 |
| 1962449637 | Albertsons LLC | Pharmacy | 4651 Cortez Rd W, Bradenton, FL 34210-3146 | 2006-06-01 |
| 1992742423 | Albertsons LLC | Pharmacy | 7415 Manatee Ave W, Bradenton, FL 34209-3444 | 2006-06-01 |
| 1710477245 | Westminster Senior Care Pharmacy, LLC | Pharmacy | 1700 3rd Ave W, Bradenton, FL 34205-5946 | 2018-05-10 |
| Find all providers in BRADENTON | ||||
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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.