Holiday CVS LLC
NPI 1164526026ActiveOrganization· Pharmacy· Port Charlotte, FL
Pharmacy in Port Charlotte, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Svcs. Medicare paid $95,448 for services to 391 patients in 2024.
Overview
| NPI | 1164526026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20693 | FL |
| 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 | 391 |
|---|---|
| Services billed | 1,216 across 10 procedure codes |
| Paid by Medicare | $95,448 |
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