Holiday CVS LLC
NPI 1710081682ActiveOrganization· Pharmacy· Fort Walton Beach, FL
Pharmacy in Fort Walton Beach, Florida, registered in NPPES in September 2006. The authorized official on file is Patricia Vanderbrug, Phcy Enrollments Representative. Medicare paid $55,486 for services to 239 patients in 2024.
Overview
| NPI | 1710081682 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Dec 4, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20534 | FL |
| 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 | 239 |
|---|---|
| Services billed | 742 across 13 procedure codes |
| Paid by Medicare | $55,486 |
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