Holiday CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HOLIDAY CVS LLC

Practice address

14075 Biscayne Blvd
North Miami Beach, FL 33181-1629

Phone

(305) 944-8103

Fax

(305) 945-8346

NPI assigned

Jul 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS Pharmacy #16423 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These 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

Tax ID family

Holiday CVS LLC738 organizations share this tax ID, including this one

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.

• Holiday CVS LLC

  • Pharmacy
  • Miami, FL
  • NPI 1679677652
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Pensacola, FL
  • NPI 1689696205
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Ocala, FL
  • NPI 1689771172
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Gulf Breeze, FL
  • NPI 1689777336
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Ft Lauderdale, FL
  • NPI 1689778573
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Marco Island, FL
  • NPI 1689778581
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Ft Lauderdale, FL
  • NPI 1689778599
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Lighthouse Point, FL
  • NPI 1689778664
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Hollywood, FL
  • NPI 1699879551
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1699879569
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Miami, FL
  • NPI 1699879668
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Stock Island, FL
  • NPI 1700286127
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

Networks

• HealthSun Health Plans Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1700808342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "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": "14075 BISCAYNE BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331811629",
            "telephone_number": "305-944-8103",
            "fax_number": "305-945-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "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": "FL",
            "license": "PH 29673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #16423",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Philip Hodson, D.M.D.
• Joseph Israel Hoffman, MD
• Mark Stephen Hoffman, D.C.
• Queen E. Holden
• Holiday CVS LLC
• Holistic Healing Center
• Holistic Health Care Miami Inc
• Holistic Recovery Centers, LLC
• Holistic Recovery Centers, LLC
• Deborah Lynn Holmes, MD

• All providers in North Miami Beach, FL
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.