Holiday CVS LLC
NPI 1174638290ActiveOrganization· Pharmacy· Hialeah, FL
Pharmacy in Hialeah, Florida, registered in NPPES in August 2006. The authorized official on file is Susan F. Colbert, Sr Director,payer Relations. Medicare paid $5,212 for services to 24 patients in 2024.
Overview
| NPI | 1174638290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
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 | 24 |
|---|---|
| Services billed | 72 across 10 procedure codes |
| Paid by Medicare | $5,212 |
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