Holiday CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

20357 Issued in FL

Legal business name

HOLIDAY CVS LLC

Doing business as

CVS Pharmacy 03283

Practice address

6888 N 9TH Ave
Pensacola, FL 32504-7348

Phone

(850) 476-0710

Fax

(850) 478-3558

NPI assigned

Sep 12, 2006

Last updated

Oct 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

SPVR Phcy Enrollments

Phone

(401) 770-2751

Specialties & licenses 2

Addresses

Other names 1

• CVS PHARMACY 03283 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

Member of 1

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

• CVS Pharmacy Inc

  dba CVS Pharmacy #10339

  • Pharmacy
  • Lindale, TX
  • NPI 1255320644

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Renee Armstrong, PHARMD

  • Pharmacist
  • Pensacola, FL
  • NPI 1538762042
  NPD (past)
• Victoria Gant, PHARMD

  • Pharmacist
  • Pensacola, FL
  • NPI 1871197954
  NPD (past)
• Ashley Kay Hoffman, PHARMD

  • Pharmacist
  • Pensacola, FL
  • NPI 1376376129
  NPD (past)
• Kayla Malynn Husted, PHARMD

  • Pharmacist
  • Pensacola, FL
  • NPI 1417664954
  NPD (past)
• Catherine Kew

  • Pharmacist
  • Pensacola, FL
  • NPI 1740862820
  NPD (past)
• Abiola Olaolu Omidina

  • Pharmacist
  • Pensacola, FL
  • NPI 1275447625
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1811091895",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047348",
            "telephone_number": "850-476-0710",
            "fax_number": "850-478-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SPVR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "20357",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 03283",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holiday CVS LLC (CVS Pharmacy 05180)
• Holiday CVS LLC (CVS Pharmacy #04430)
• Holiday CVS LLC (CVS Pharmacy #04171)
• Holiday CVS LLC (CVS Pharmacy #16207)
• Holiday CVS LLC (CVS Pharmacy #17500)
• Holiday CVS LLC (CVS Pharmacy 03675)
• Holiday CVS LLC (CVS Pharmacy #16620)
• Holiday CVS LLC (CVS Pharmacy 05158)
• Holiday CVS LLC (CVS Pharmacy 04458)
• Christine Holland, OT

• Pharmacy in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.