Holiday CVS LLC
NPI 1366741258ActiveOrganization· Pharmacy· Port Orange, FL
Pharmacy in Port Orange, Florida, registered in NPPES in March 2011. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $81,323 for services to 341 patients in 2024.
Overview
| NPI | 1366741258 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2011 |
| Last updated in NPPES | Oct 6, 2011 |
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 | 341 |
|---|---|
| Services billed | 1,054 across 13 procedure codes |
| Paid by Medicare | $81,323 |
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