Holiday CVS LLC
NPI 1205692035ActiveOrganization· Pharmacy· Melbourne, FL
Pharmacy in Melbourne, Florida, registered in NPPES in February 2024. The authorized official on file is Susan F. Colbert, Sr Director Payer Relations. Medicare paid $21,174 for services to 105 patients in 2024.
Overview
| NPI | 1205692035 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2024 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 1, 2024 |
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 | 105 |
|---|---|
| Services billed | 292 across 9 procedure codes |
| Paid by Medicare | $21,174 |
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