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Holiday CVS LLC

Organization Active NPI Pharmacy · Juno Beach, FL

NPI 1124122080 · NPPES record last updated Jul 17, 2012

Key facts

NPI
1124122080
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
20353 (FL)
Legal business name
HOLIDAY CVS LLC
Practice address
14000 US Highway 1
Juno Beach, FL 33408-1402
Phone
(561) 622-9414
Fax
(561) 776-8997
NPI assigned
Sep 12, 2006
Organization subpart
No

Authorized official

Name
Susan Colbert
Title
Director Payer Relations
Phone
(401) 770-2751

Corporate family (same tax ID) 24

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

Member of 1

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holiday CVS LLC
14000 US Highway 1, Juno Beach, FL 33408-1402 · (561) 622-9414		 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… Does not accept assignment
Participating since Jan 1, 2025

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081223000620 FL Part B Supplier - Mass Immunization (Roster Biller Only) 2668534702 This NPI is an additional NPI on the enrollment
O20100930021722 FL DME Supplier - Pharmacy 2668534702 Practice locations: Juno Beach, FL

National Provider Directory

Tax ID family
Holiday CVS LLC (738 organizations share this tax ID)

Locations

14000 US Highway 1
Juno Beach, FL 33408
Phone (561) 622-3240

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network
    Plans: 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 Network
    Plans: 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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 20353 FL Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

14000 US Highway 1
Juno Beach, FL 33408-1402

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other identifiers

IdentifierTypeStateIssuer
1078701OtherOTHER ID NUMBER-COMMERCIAL NUMBER
105714600MedicaidFL

Other names

  • CVS PHARMACY 05109 Doing business as

Other providers in Juno Beach, FL

All providers in Juno Beach, FL · Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.