Provider Type Icon

HOLIDAY CVS LLC NPI 1487758397


NPI Information

NPI: 1487758397
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 03433

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
14411 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905
Phone: (239) 693-2221
Get Directions

HOLIDAY CVS LLC is a pharmacy in Fort Myers, 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 1487758397. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 03433.

The provider's business location address is:

14411 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905-334
Phone: (239) 693-2221
Fax: (239) 694-4248

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 10/21/2010.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy20254FLORIDAYes

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
15140820138MEDICARE NSC
21047136OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3105861400MEDICAIDFLORIDA
4BC034AMEDICARE PIN

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.