HOLIDAY CVS LLC (NPI# 1861595514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861595514 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #04062 |
| Practice Address |
407 East Base St Madison FL 32340 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8509733027 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-11-01 |
| 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 | PH14355 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1062099 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04062 | 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 |
407 EAST BASE ST |
| City | MADISON |
| State | FL |
| Zip Code | 32340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1356826291 | Bailey Grade Medical Care, LLC | Family Medicine | 289 Sw Range Ave, Suite C, Madison, FL 32340 | 2018-09-26 |
| Find all providers in zip 32340 | ||||
| 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] |
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| 1588077325 | Madison Pharmacy Inc. | Pharmacy | 8498 Madison Blvd Ste A, Madison, AL 35758-2049 | 2014-06-10 |
| 1831419688 | Gluckstadt Special Care Pharmacy & Compounding | Pharmacy | 1716 Highway 51, Suite N, Madison, MS 39110-5020 | 2010-06-03 |
| 1013169598 | Willow Pharmacy Inc | Pharmacy | 2445 Darwin Rd, Suite 102, Madison, WI 53704-3116 | 2008-10-16 |
| 1790821312 | Skj Inc | Pharmacy | 217 Cottage Grove Rd, Madison, WI 53716-1105 | 2007-01-30 |
| 1114075777 | Roundys Supermarkets Inc | Pharmacy | 2502 Shopko Dr, Madison, WI 53704-4119 | 2007-01-08 |
| 1134205008 | Moore Health Inc. | Pharmacy | 1400 Eatonton Rd, Suite 600, Madison, GA 30650-4642 | 2006-10-31 |
| 1265521884 | Lewis Drugs Inc | Pharmacy | 741 S Washington Ave, Madison, SD 57042-3409 | 2006-10-12 |
| 1780772236 | University of Wisconsin Hospitals & Clinics Authority | Pharmacy | 702 N Midvale Blvd, Suite 168, Madison, WI 53705-3261 | 2006-10-10 |
| Find all providers in MADISON | ||||
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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.