Holiday CVS LLC
NPI 1205930112ActiveOrganization· Pharmacy· Daytona Beach Shores, FL
Pharmacy in Daytona Beach Shores, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director Phcy Enrollments. Medicare paid $79,428 for services to 353 patients in 2024.
Overview
| NPI | 1205930112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20162 | FL |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 353 |
|---|---|
| Services billed | 1,048 across 13 procedure codes |
| Paid by Medicare | $79,428 |