HOLIDAY CVS LLC (NPI# 1891989935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891989935 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY #17360 |
| Practice Address |
11627 W Hillsborough Ave Tampa FL 33635-9736 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8137495962 |
| Practice Fax Number | 8137495972 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-08-31 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH 29783 | FL | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2009678 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17360 | 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 |
11627 W HILLSBOROUGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33635-9736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275939498 | Christine Chen & Associates, Od, Pa | Optometrist | 11627 W Hillsborough Ave, Tampa, FL 33635-9736 | 2014-11-16 |
| 1902192594 | Rana Michel Nehme Moussa | Pharmacist | 11627 W Hillsborough Ave, Tampa, FL 33635-9736 | 2011-06-22 |
| 1154615425 | Nataline R Williams | Pharmacist | 11627 W Hillsborough Ave, T-2289, Tampa, FL 33635-9736 | 2011-06-04 |
| 1831404144 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 11627 W Hillsborough Ave, Tampa, FL 33635-9736 | 2010-08-11 |
| 1871742049 | Christine Chen | Optometrist | 11627 W Hillsborough Ave, Tampa, FL 33635-9736 | 2008-09-12 |
| 1548457476 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11627 W Hillsborough Ave, Tampa, FL 33635-9736 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| 1528428638 | Tracy Lee | Behavioral Analyst | 6951 Pistol Ridge Road, Tampa, FL 33635 | 2016-03-02 |
| 1912301409 | Stacey-ann Samuels Taylor | Contractor | 6608 Camden Bay Drive, # 303, Tampa, TAMPA 33635 | 2014-10-13 |
| 1356753438 | Fountain of Youth Alf Inc | Assisted Living Facility | 9001 Bana Villa Ct, Tampa, FL 33635 | 2014-05-23 |
| 1518212646 | The Good Shepherd Sleep Center | Clinic/Center | 13668 W Hillsborough Ave, Tampa, FL 33635 | 2012-07-15 |
| 1033487343 | Crystal A Reinhart | Physical Therapist | 8417 Poydras Lane, Tampa, FL 33635 | 2011-12-01 |
| 1093002768 | Anthony Roosevelt Washington IIi | Family Medicine | 13608 W Hillsborough Ave, Tampa, FL 33635 | 2011-07-01 |
| 1710187778 | Jerome Abutal Abellana | Physical Therapist | 8504 Tidal Bay Ln, Tampa, FL 33635 | 2007-07-18 |
| 1902298433 | Cindy Ceja | Behavioral Analyst | 6951 Pistol Range Rd, Tampa, FL 33635 | 2015-02-20 |
| 1265842249 | Christine Ann Roeper | Technician, Other | 6951 Pistol Range Rd, Tampa, FL 33635 | 2014-04-30 |
| Find all providers in zip 33635 | ||||
| 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 |
|---|---|---|---|---|
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1053804591 | Nagaindra Srivastav | Pharmacy | 17931 Cachet Isle Dr, Tampa, FL 33647-2703 | 2018-06-09 |
| 1902393556 | Perla C Beltran | Pharmacy | 3632 S Renellie Dr, Tampa, FL 33629-8350 | 2018-04-19 |
| 1215437694 | Tita Healthcare Inc. | Pharmacy | 12811 N Nebraska Ave Ste J, Tampa, FL 33612-4401 | 2018-02-13 |
| 1548789605 | Positiverx | Pharmacy | 1420 W Waters Ave # 1, Tampa, FL 33604-2830 | 2017-09-11 |
| 1346766482 | Genoa Healthcare, LLC | Pharmacy | 12512 Bruce B Downs Blvd Ste A142, Tampa, FL 33612-9209 | 2017-08-21 |
| 1093237000 | Shri Aarna Rx LLC | Pharmacy | 3134 E Hillsborough Ave, Tampa, FL 33610-4528 | 2017-07-11 |
| 1730618554 | Rightback LLC | Pharmacy | 6802 W Hillsborough Ave Ste 12, Tampa, FL 33634-5004 | 2017-06-06 |
| 1558817783 | Plamyra Pharmacy LLC | Pharmacy | 4817 E Busch Blvd, Tampa, FL 33617 | 2016-08-28 |
| 1336694926 | U & J Healthcare LLC | Pharmacy | 6308 N Florida Ave, Tampa, FL 33604-6628 | 2016-08-24 |
| Find all providers in TAMPA | ||||
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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.