1. Home
  2. Directory
  3. Florida
  4. North Miami
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY
NPI 1205930187
Pharmacy in North Miami, FL

Active since September 12, 2006CLIA 10D2259073 · Waiver
600 NE 128TH ST, NORTH MIAMI, FL 33161(305) 893-0560(305) 893-0673 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY (NPI 1205930187) is a healthcare organization registered as a pharmacy in North Miami, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Cristiana Mauricio, Mgr Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205930187
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address600 NE 128TH STNorth Miami, FL 33161-4829
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(305) 893-0560
Fax(305) 893-0673
Organization SubpartNo
Authorized OfficialCristiana MauricioMgr Phcy Enrollments · (401) 770-2937
Enumeration DateSeptember 12, 2006
Last NPPES UpdateSeptember 18, 2007
✔ NPI 1205930187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · 20734
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
600 NE 128TH ST, North Miami, FL 33161
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 2

Other1005657Other Id Number-commercial Number
Medicare NSC5140820015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2259073

Holiday CVS, LLC Dba Cvs/Pharmacy #0628 · North Miami, FL
Active · expires May 1, 2028
CLIA Number10D2259073
Laboratory TypePharmacy
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorMichelle C. Mcqueen
Laboratory Phone(305) 893-0560
Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #0628600 NE 128th St, North Miami, FL 33161
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #00628 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #00628

DMEPOS supplier · North Miami, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #00628 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20436845
Medicare Participant SinceJanuary 1, 2019
Supplier Location600 NE 128th StNorth Miami, FL 33161
Phone(305) 893-0560
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YVESMARIE JOSEPH PHARMD
Pharmacist
600 NE 128TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (786) 624-9599
JEAN BAPTISTE STLOUIS
Pharmacy
600 NE 128TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 893-0560
DR. ELIANE LEYMONIE-TIMBALDI PHARM D
Pharmacist
600 NE 128TH ST
NORTH MIAMI, FL 33161
Miami-Dade County (305) 893-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1205930187. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 600 NE 128th St, North Miami, FL 33161. The listed phone number is (305) 893-0560.

What is Holiday CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Holiday CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #00628 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Holiday CVS LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2259073) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holiday CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Holiday CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.