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Holiday CVS LLC

NPI 1790889673ActiveOrganization· Pharmacy· Lake Worth, FL

Pharmacy in Lake Worth, Florida, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $226,943 for services to 908 patients in 2024.

Overview

NPI1790889673
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESJan 18, 2023
Certified by providerJan 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPH21122FL
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 patients908
Services billed2,769 across 13 procedure codes
Paid by Medicare$226,943

Medicare sources and data years

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