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HOLIDAY CVS LLC NPI 1194829010


NPI Information

NPI: 1194829010
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY #03689

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4999 S FEDERAL HWY
FORT PIERCE, FL
ZIP 34982
Phone: (772) 464-3308
Get Directions

HOLIDAY CVS LLC is a pharmacy in Fort Pierce, 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 1194829010. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #03689.

The provider's business location address is:

4999 S FEDERAL HWY
FORT PIERCE, FL
ZIP 34982-079
Phone: (772) 464-3308
Fax: (772) 464-4372

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 enumeration date for this NPI number is 9/12/2006 and was last updated on 11/14/2012.


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
3333600000XPharmacy20229FLORIDAYes

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
1BC034AMEDICARE PIN
21052745OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3P00949648MEDICARE PIN
4105779100MEDICAIDFLORIDA
55140820220MEDICARE NSC

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: 11/14/2023

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.