Holiday CVS LLC
NPI 1740384692ActiveOrganization· Pharmacy· Lake City, FL
Pharmacy in Lake City, Florida, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director Phcy Enrollments. Medicare paid $40,545 for services to 172 patients in 2024.
Overview
| NPI | 1740384692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 20752 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 172 |
|---|---|
| Services billed | 520 across 12 procedure codes |
| Paid by Medicare | $40,545 |
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