Holiday CVS, L.L.C.
NPI 1073842621ActiveOrganization· Pharmacy· Jacksonville, FL
Pharmacy in Jacksonville, Florida, registered in NPPES in December 2009. The authorized official on file is Sue F. Colbert, Director Payer Relations. Medicare paid $25,040 for services to 105 patients in 2024.
Overview
| NPI | 1073842621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2009 |
| Last updated in NPPES | Nov 3, 2010 |
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 · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 105 |
|---|---|
| Services billed | 328 across 12 procedure codes |
| Paid by Medicare | $25,040 |
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