HOLIDAY CVS LLC (NPI# 1942304860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942304860 |
| Entity Type | Organization |
| Organization Name | HOLIDAY CVS LLC |
| Other Organization Name | CVS PHARMACY 03671 |
| Practice Address |
10701 International Dr Orlando FL 32821-7392 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4073550929 |
| Practice Fax Number | 4073550928 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-09-28 |
| 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 | 20723 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1051705 | 01 | |
| FL | 105764200 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03671 | 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 |
10701 INTERNATIONAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32821-7392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548377492 | Marlie Clay | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2006-08-24 |
| 1558837310 | Jerrylee Saumell Rosales | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2018-10-19 |
| 1245778794 | Maria Victoria Hongco Perez | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2017-02-04 |
| 1164804969 | Aquilla Battle | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2015-06-29 |
| 1093196537 | Keisha Gordon-primus | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2015-06-10 |
| 1659778538 | Marie Huguette Sherly Theodore Felder | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2014-11-20 |
| 1750655700 | Robin Victoria Moehling | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1740527811 | Medical Home Alliance LLC | Internal Medicine | 6675 Westwood Blvd Ste 475, Orlando, FL 32821 | 2013-01-10 |
| 1215298385 | Steven C Batchelor | Case Manager/Care Coordinator | 5334 Central Florida Parkway #123, Orlando, FL 32821 | 2012-06-05 |
| 1811267859 | Kon Ying Leung | Pharmacist | 12650 International Drive South, Orlando, FL 32821 | 2012-01-09 |
| 1700085297 | Jill Brightman Bello | Social Worker | 5314 Dorrington Ln, Orlando, FL 32821 | 2007-07-13 |
| 1952320947 | Michell Lyn Arnow Phd Pa | Psychologist | 5007 Gateway Avenue, Suite B, Orlando, FL 32821 | 2006-07-19 |
| 1205824513 | Nusrath Hasan Baig | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2005-10-11 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| 1376047530 | Nathaniel Edward Dash | Occupational Therapy Assistant | 6627 Tanglewood Bay Dr, Apt 1105, Orlando, FL 32821-3282 | 2018-03-22 |
| 1891229712 | Christopher Wilcox | Social Worker | 8807 Villa View Cir, 202, Orlando, FL 32821-4112 | 2017-04-18 |
| Find all providers in zip 32821 | ||||
| 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.