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Holiday CVS LLC

NPI 1124122007ActiveOrganization· Pharmacy· Pinecrest, FL

Pharmacy in Pinecrest, Florida, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $109,056 for services to 415 patients in 2024.

Overview

NPI1124122007
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESJun 16, 2021
Certified by providerJun 16, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPH21436FL
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients415
Services billed1,324 across 12 procedure codes
Paid by Medicare$109,056

Medicare sources and data years

Other pharmacies in Pinecrest

All pharmacies in Florida