Holiday CVS LLC
NPI 1134360712ActiveOrganization· Pharmacy· Davenport, FL
Pharmacy in Davenport, Florida, registered in NPPES in March 2009. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $45,677 for services to 191 patients in 2024.
Overview
| NPI | 1134360712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2009 |
| Last updated in NPPES | Aug 30, 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 | 191 |
|---|---|
| Services billed | 582 across 11 procedure codes |
| Paid by Medicare | $45,677 |
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