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Holiday CVS LLC

NPI 1649374554ActiveOrganization· Pharmacy· St Petersburg, FL

Pharmacy in St Petersburg, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director Phcy Enrollments. Medicare paid $162,080 for services to 612 patients in 2024.

Overview

NPI1649374554
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESMar 10, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X20458FL
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 patients612
Services billed2,026 across 13 procedure codes
Paid by Medicare$162,080

Medicare sources and data years

Other pharmacies in St Petersburg

All 35 pharmacies in St Petersburg · All pharmacies in Florida