Holiday CVS LLC
NPI 1477730406ActiveOrganization· Pharmacy· Davenport, FL
Pharmacy in Davenport, Florida, registered in NPPES in January 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $10,875 for services to 48 patients in 2024.
Overview
| NPI | 1477730406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2008 |
| Last updated in NPPES | Sep 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH 29718 | FL |
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 | 48 |
|---|---|
| Services billed | 144 across 10 procedure codes |
| Paid by Medicare | $10,875 |
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