Active NPI
Holiday CVS LLC
- Pharmacy
- West Palm Beach, FL
National Provider Identifier
1326697335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HOLIDAY CVS LLC
- Practice address
- 400 Clematis St
West Palm Beach, FL 33401-5321 - Phone
- (401) 765-1500
- Fax
- (401) 770-7108
- NPI assigned
- Sep 11, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan F Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Holiday CVS LLC | 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081223000620 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668534702 | This NPI is an additional NPI on the enrollment |
| O20200121000917 | FL | DME Supplier - Pharmacy | 2668534702 | Practice locations: West Palm Beach, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Holiday CVS LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Davie, FL
- NPI 1316041213
-
- Pharmacy
- St Petersburg, FL
- NPI 1316041221
-
- Pharmacy
- Tampa, FL
- NPI 1316041239
-
- Pharmacy
- Palm Bay, FL
- NPI 1316041288
-
- Pharmacy
- Riverview, FL
- NPI 1316042146
-
- Pharmacy
- Doral, FL
- NPI 1316110810
-
- Pharmacy
- Miami, FL
- NPI 1316290778
-
- Pharmacy
- Miami, FL
- NPI 1316366545
-
- Pharmacy
- Tampa, FL
- NPI 1316969918
-
- Pharmacy
- Lake Park, FL
- NPI 1326060930
-
- Pharmacy
- Miami Beach, FL
- NPI 1326142282
-
- Pharmacy
- Cutler Bay, FL
- NPI 1326142399
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
- HealthSun Health Plans Network
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
400 Clematis St
West Palm Beach, FL 33401-5321
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5742514 | Other | FL | NCPDP |
Other names 1
NPPES NPI Registry- CVS Pharmacy # 10973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2019.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568592000000",
"number": "1326697335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CLEMATIS ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015321",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLIDAY CVS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-16",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"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": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5742514",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy # 10973",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CVS Pharmacy # 10973",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.