HOLIDAY CVS LLC (NPI# 1932203841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932203841 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY # 02904 |
| Practice Address |
6354 N Orange Blossom Trl Orlando FL 32810-4202 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4072900366 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-08-23 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH18792 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1096658 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 02904 | 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 |
6354 N ORANGE BLOSSOM TRL |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| 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.