Holiday CVS, L.L.C.
NPI 1639407596ActiveOrganization· Pharmacy· Port Charlotte, FL
Pharmacy in Port Charlotte, Florida, registered in NPPES in December 2009. The authorized official on file is Sue Colbert, Director, Managed Care. Medicare paid $91,856 for services to 364 patients in 2024.
Overview
| NPI | 1639407596 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2009 |
| 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 · 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 | 364 |
|---|---|
| Services billed | 1,142 across 12 procedure codes |
| Paid by Medicare | $91,856 |
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