Holiday CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH19625 Issued in FL

Legal business name

HOLIDAY CVS LLC

Practice address

1820 Cheney Hwy
Titusville, FL 32780-6022

Phone

(321) 383-5420

NPI assigned

Sep 12, 2006

Organization subpart

No

Name

Susan F Colbert

Title

Director Phcy Enrollments

Phone

(401) 770-2751

Organizations that report the same tax identification number in the National Provider Directory.

• Holiday CVS LLC

  • Pharmacy
  • Miami, FL
  • NPI 1003213125
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Orlando, FL
  • NPI 1003838657
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Miramar, FL
  • NPI 1003910084
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Ponte Vedra, FL
  • NPI 1003910910
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Jupiter, FL
  • NPI 1003910928
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Jacksonville, FL
  • NPI 1003910969
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Pensacola, FL
  • NPI 1003910977
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Tallahassee, FL
  • NPI 1003910985
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Spring Hill, FL
  • NPI 1013011923
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Oldsmar, FL
  • NPI 1013011931
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Pinecrest, FL
  • NPI 1013011964
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Orlando, FL
  • NPI 1013011972
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Tamarac, FL
  • NPI 1013011998
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Melbourne, FL
  • NPI 1023112000
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • North Miami Beach, FL
  • NPI 1023112901
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Zephyrhills, FL
  • NPI 1023112935
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Chattahoochee, FL
  • NPI 1023112984
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1033132345
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Ormond Beach, FL
  • NPI 1033213012
  NPD tax ID
• Holiday CVS, L.L.C.

  • Pharmacy
  • Naples, FL
  • NPI 1013247873
  NPD tax ID

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366
  NPD member Member Of

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gamilla Soliman

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Orlando, FL
  • NPI 1417553595
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Tax ID family

Holiday CVS LLC (738 organizations share this tax ID)

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

• CVS PHARMACY 05864 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2012.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1013011097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806022",
            "telephone_number": "321-383-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH19625",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026416400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1001332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 05864",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheree Hill, MSW, LCSW
• Dawn Michele Hillebrandt, ARNP
• Karlisia Hinton
• Lan Hoang
• Long N. Hoang, DMD
• Holiday CVS LLC
• Holiday CVS LLC
• Holistic Family Health Clinic, P.a.
• Amber Nicole Hollis, PT, DPT
• Home Therapy Inc.

• All providers in Titusville, FL
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.