Holiday CVS, L.L.C.
NPI 1376846501ActiveOrganization· Pharmacy· Jacksonville, FL
Pharmacy in Jacksonville, Florida, registered in NPPES in December 2010. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $53,483 for services to 242 patients in 2024.
Overview
| NPI | 1376846501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2010 |
| Last updated in NPPES | Mar 16, 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 · 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 | 242 |
|---|---|
| Services billed | 726 across 12 procedure codes |
| Paid by Medicare | $53,483 |
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