Holiday CVS LLC
NPI 1689778573ActiveOrganization· Pharmacy· Ft Lauderdale, FL
Pharmacy in Ft Lauderdale, Florida, registered in NPPES in September 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments. Medicare paid $33,123 for services to 134 patients in 2024.
Overview
| NPI | 1689778573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Dec 4, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20245 | FL |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 134 |
|---|---|
| Services billed | 424 across 13 procedure codes |
| Paid by Medicare | $33,123 |
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