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HOLIDAY CVS LLC NPI 1508960584


NPI Information

NPI: 1508960584
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY #01047

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2227340

Address:
6204 14TH ST W
BRADENTON, FL
ZIP 34207
Phone: (941) 755-3716
Get Directions

HOLIDAY CVS LLC is a pharmacy in Bradenton, 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 1508960584. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #01047.

The provider's business location address is:

6204 14TH ST W
BRADENTON, FL
ZIP 34207-610
Phone: (941) 755-3716
Fax: (941) 758-9406

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Mgr Phcy Enrollments and has the following contact phone number (401) 770-2937.

The CLIA number assigned to this NPI record is 10D2227340 - 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 11/17/2009.


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
2333600000XPharmacy20322FLORIDAYes

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
15140820085MEDICARE NSC
21004770OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3105886000MEDICAIDFLORIDA
4P00754232MEDICARE PIN
5BC034MEDICARE 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.