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HOLIDAY CVS LLC NPI 1639273501


NPI Information

NPI: 1639273501
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 04632

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2259092

Address:
8546 S TAMIAMI TRL
SARASOTA, FL
ZIP 34238
Phone: (941) 918-1514
Get Directions

HOLIDAY CVS LLC is a pharmacy in Sarasota, FL. The provider is 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. HOLIDAY CVS LLC NPI is 1639273501. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 04632.

The provider's business location address is:

8546 S TAMIAMI TRL
SARASOTA, FL
ZIP 34238-031
Phone: (941) 918-1514
Fax: (941) 918-9886

The provider's authorized official is Susan Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 10D2259092 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy20445FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BC034MEDICARE PIN
2P00754232MEDICARE PIN
35140820354MEDICARE NSC
4106580700MEDICAIDFLORIDA
51085011OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.