| NPI | 1073617957 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-12 |
| Last Updated | 2023-01-18 |
| Authorized Official | Susan Colbert Director, Payer Relations Phone: 4017702751 |
| Mailing Address | 1 Cvs Dr, Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 121 W Macclenny Ave Macclenny, FL 32063-2029 United States Phone: (904) 259-6380 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 1009845 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | FL | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | FL | PH21115 |
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About NPI 1073617957
Holiday Cvs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073617957. The primary specialty listed is Pharmacy. The organization is located in Macclenny, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073617957?
NPI 1073617957 belongs to Holiday Cvs Llc, a Pharmacy in Macclenny, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073617957 active?
The current status of NPI 1073617957 in the NPPES registry is Active. The record was last updated on 2023-01-18.
What specialty is NPI 1073617957?
NPI 1073617957 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073617957?
You can verify NPI 1073617957 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073617957?
The primary practice address on file for NPI 1073617957 is 121 W Macclenny Ave, Macclenny, FL 32063-2029. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073617957 issued?
NPI 1073617957 was first issued (enumerated) on 2006-09-12. The NPPES record was last updated on 2023-01-18.
Practice Location Map
Holiday Cvs Llc is located at 121 W Macclenny Ave, Macclenny, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Holiday Cvs Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073617957. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | PH21115 | FL |