Holiday CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

20539 Issued in FL

Legal business name

HOLIDAY CVS LLC

Practice address

10660 SW 40TH St
Miami, FL 33165-3613

Phone

(305) 221-1356

Fax

(305) 221-5950

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Cristiana Mauricio

Title

MGR Phcy Enrollments

Phone

(401) 770-2937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY 03121 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
  • Lakeland, FL
  • NPI 1881616431
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Sarasota, FL
  • NPI 1881776243
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • West Palm Beach, FL
  • NPI 1881798742
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Doral, FL
  • NPI 1881798858
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Englewood, FL
  • NPI 1881798866
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Kissimmee, FL
  • NPI 1881997534
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Merritt Island, FL
  • NPI 1891717435
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Pensacola, FL
  • NPI 1891717443
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Miami, FL
  • NPI 1891800918
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Palm City, FL
  • NPI 1891899753
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Sanford, FL
  • NPI 1891899761
  NPD tax ID
• Holiday CVS LLC

  • Pharmacy
  • Rockledge, FL
  • NPI 1891899779
  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

Practitioners 2

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

• Alicia Fleites Stashkova, PHARM.D.

  • Pharmacist
  • Miami, FL
  • NPI 1215516745
  NPD (past)
• Ivan Page, PHARMD

  • Pharmacist
  • Miami, FL
  • NPI 1518560606
  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": "1514937600000",
    "number": "1891899787",
    "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": "10660 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653613",
            "telephone_number": "305-221-1356",
            "fax_number": "305-221-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "CRISTIANA",
        "authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2937"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "20539",
            "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1034127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105791000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 03121",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.