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HOLIDAY CVS LLC NPI 1891800918


NPI Information

NPI: 1891800918
Provider Name: HOLIDAY CVS LLC

Doing Business As: NAVARRO DISCOUNT PHARMACY #10706

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2227658

Address:
14665 SW 104TH ST
MIAMI, FL
ZIP 33186
Phone: (305) 636-7779
Get Directions

HOLIDAY CVS LLC is a pharmacy in Miami, 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 1891800918. The provider is registered as an organization entity type.
The provider Is Doing Business As Navarro Discount Pharmacy #10706.

The provider's business location address is:

14665 SW 104TH ST
MIAMI, FL
ZIP 33186-976
Phone: (305) 636-7779

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 10D2227658 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/9/2015.


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
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

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
15140820736MEDICARE NSC
2012833400MEDICAIDFLORIDA
3012833401OTHERFLORIDAMEDICAID DME
4BC034BMEDICARE PIN
51088687OTHERFLORIDANCPDP

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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