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HOLIDAY CVS LLC NPI 1790889772


NPI Information

NPI: 1790889772
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 00535

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2226670

Address:
4685 GULF BLVD
ST PETE BEACH, FL
ZIP 33706
Phone: (727) 360-0818
Get Directions

HOLIDAY CVS LLC is a pharmacy in St Pete Beach, 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 1790889772. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 00535.

The provider's business location address is:

4685 GULF BLVD
ST PETE BEACH, FL
ZIP 33706-405
Phone: (727) 360-0818
Fax: (727) 367-1049

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

The CLIA number assigned to this NPI record is 10D2226670 - 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 5/16/2012.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy20506FLORIDAYes

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
1105971800MEDICAIDFLORIDA
25140820297MEDICARE NSC
3P00754232MEDICARE PIN
4BC034MEDICARE PINFLORIDA
51004605OTHEROTHER 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

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