Holiday CVS LLC
NPI 1043392830ActiveOrganization· Pharmacy· Daytona Beach, FL
Pharmacy in Daytona Beach, Florida, registered in NPPES in October 2006. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $67,360 for services to 271 patients in 2024.
Overview
| NPI | 1043392830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2006 |
| Last updated in NPPES | Dec 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 271 |
|---|---|
| Services billed | 860 across 12 procedure codes |
| Paid by Medicare | $67,360 |
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