HOLIDAY CVS LLC (NPI# 1922102904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922102904 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 05853 |
| Practice Address |
13960 Landstar Blvd Orlando FL 32824-5524 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4074386850 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS) |
| 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 | PH19631 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1001344 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 05853 | 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 |
13960 LANDSTAR BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32824-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578951711 | Brittney Nicole Veronick | Counselor | 13960 Landstar Blvd, Orlando, FL 32824-6613 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572262 | Laura Enid Martinez | Driver | 2131 Ribbon Falls Pkwy, Orlando, FL 32824 | 2019-05-03 |
| 1629555800 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14185 Lake Nona Blvd., Orlando, FL 32824 | 2018-07-20 |
| 1740705789 | Ambar Transportation LLC | Non-emergency Medical Transport (VAN) | 2214 Brandywine Falls Way, Orlando, FL 32824 | 2017-08-10 |
| 1528582798 | Carlos E Melgarejo | Case Manager/Care Coordinator | 3467 Somerset Park Dr, Orlando, FL 32824 | 2017-07-31 |
| 1346786621 | Kimkesi Morgan | Clinic/Center | 14365 Queenside St, Orlando, FL 32824 | 2017-01-11 |
| 1154772978 | Azalia Carballo | Behavior Technician | 14940 Day Lily Ct, Orlando, FL 32824 | 2016-06-22 |
| 1326413931 | Marlene Alix | Nurse Practitioner | 12108 Greco Dr., Orlando, FL 32824 | 2015-12-08 |
| 1508230202 | Sandra Pinzon | Case Management | 579 Bohannon Blvd, Orlando, FL 32824 | 2015-11-18 |
| 1225402993 | Cristina Villafane | Speech-Language Pathologist | 3755 Bishop Landing Way, Orlando, FL 32824 | 2015-11-18 |
| 1891171625 | Nidia Xaymara Feliberti | Counselor | 14975 Huntcliff Park Way, Orlando, FL 32824 | 2015-08-04 |
| Find all providers in zip 32824 | ||||
| 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 |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 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 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1144713850 | Eir Health LLC | Pharmacy | 120 E Marks St, Ste 250, Orlando, FL 32803-3857 | 2018-06-08 |
| 1558862086 | Keyona LLC | Pharmacy | 7790 Lake Underhill Rd Ste 104, Orlando, FL 32822-8216 | 2018-02-21 |
| 1659822799 | Orlando Health Inc | Pharmacy | 7243 Della Dr Ste F, Orlando, FL 32819-5106 | 2016-10-24 |
| 1598215675 | Tristar Discount Pharmacy LLC | Pharmacy | 1502 N Semoran Blvd Ste 154, Orlando, FL 32807-3545 | 2016-10-12 |
| 1437514544 | Pack4u Corp | Pharmacy | 7531 Currency Dr, Orlando, FL 32809-6922 | 2015-12-17 |
| 1073978110 | Jtj Medical Supply Inc | Pharmacy | 1301 W Colonial Dr Ste 102, Orlando, FL 32804-7133 | 2015-12-16 |
| Find all providers in ORLANDO | ||||
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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.