Holiday CVS LLC
NPI 1205073830ActiveOrganization· Pharmacy· Flagler Beach, FL
Pharmacy in Flagler Beach, Florida, registered in NPPES in January 2009. The authorized official on file is Susan F. Colbert, Director Pharmacy Enrollments. Medicare paid $199,387 for services to 794 patients in 2024.
Overview
| NPI | 1205073830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2009 |
| Last updated in NPPES | Sep 24, 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 | 794 |
|---|---|
| Services billed | 2,542 across 12 procedure codes |
| Paid by Medicare | $199,387 |
Other pharmacies in Flagler Beach
- 1346484532