HOLIDAY CVS LLC NPI 1386748259

NPI Details

HOLIDAY CVS LLC is a pharmacy in Bonita Springs, 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 1386748259. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #04608.

The provider's business location address is:

24800 S TAMIAMI TRL
BONITA SPRINGS, FL
ZIP 34134-053
Phone: (239) 947-6999
Fax: (239) 947-2954

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 10D2284169 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Administration of pneumococcal vaccine (HCPCS:G0009)

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

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:

Other Identifiers

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