Holiday CVS LLC
NPI 1396849253ActiveOrganization· Pharmacy· Lake Butler, FL
Pharmacy in Lake Butler, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director . Phcy Enrollments. Medicare paid $24,906 for services to 104 patients in 2024.
Overview
| NPI | 1396849253 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Nov 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20641 | FL |
| 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 | 104 |
|---|---|
| Services billed | 324 across 10 procedure codes |
| Paid by Medicare | $24,906 |
Other pharmacies in Lake Butler
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