| NPI | 1336243294 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-12 |
| Last Updated | 2012-11-16 |
| Authorized Official | Susan Colbert DIRECTOR PAYER RELATIONS Phone: 4017702751 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 4232 Ne Ocean Blvd Jensen Beach, FL 34957-4307 United States Phone: (772) 225-9800 | Fax: (772) 225-4840 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 105738300 | - |
| Other (non-Medicare) | - | 1075779 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 333600000X – Pharmacy | FL | 20584 |
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About NPI 1336243294
Holiday Cvs Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1336243294. The primary specialty listed is Pharmacy. The organization is located in Jensen Beach, 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 1336243294?
NPI 1336243294 belongs to Holiday Cvs Llc, a Pharmacy in Jensen Beach, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336243294 active?
The current status of NPI 1336243294 in the NPPES registry is Active. The record was last updated on 2012-11-16.
What specialty is NPI 1336243294?
NPI 1336243294 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 1336243294?
You can verify NPI 1336243294 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 1336243294?
The primary practice address on file for NPI 1336243294 is 4232 Ne Ocean Blvd, Jensen Beach, FL 34957-4307. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336243294 issued?
NPI 1336243294 was first issued (enumerated) on 2006-09-12. The NPPES record was last updated on 2012-11-16.
Practice Location Map
Holiday Cvs Llc is located at 4232 Ne Ocean Blvd, Jensen Beach, 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 1336243294. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 20584 | FL |