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HOLIDAY CVS LLC NPI 1912001835


NPI Information

NPI: 1912001835
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY #03485

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
16950 PINE RIDGE RD
FORT MYERS, FL
ZIP 33908
Phone: (239) 466-3000
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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 1912001835. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #03485.

The provider's business location address is:

16950 PINE RIDGE RD
FORT MYERS, FL
ZIP 33908-050
Phone: (239) 466-3000
Fax: (239) 482-1241

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 9/7/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy20765FLORIDAYes

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
1106120800MEDICAIDFLORIDA
25140820179MEDICARE NSC
3BC034AMEDICARE PIN
41052810OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5P00949648MEDICARE 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

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