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Holiday CVS LLC

NPI 1609971431ActiveOrganization· Pharmacy· Interlachen, FL

Pharmacy in Interlachen, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $44,984 for services to 174 patients in 2024.

Overview

NPI1609971431
StatusActive
Entity typeOrganization
NPI issuedSep 14, 2006
Last updated in NPPESJan 12, 2023
Certified by providerJan 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X20432FL
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients174
Services billed570 across 13 procedure codes
Paid by Medicare$44,984

Medicare sources and data years