Holiday CVS LLC
NPI 1902828544ActiveOrganization· Pharmacy· Jacksonville Beach, FL
Pharmacy in Jacksonville Beach, Florida, registered in NPPES in July 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $79,294 for services to 318 patients in 2024.
Overview
| NPI | 1902828544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Sep 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH 29710 | FL |
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 | 318 |
|---|---|
| Services billed | 1,008 across 13 procedure codes |
| Paid by Medicare | $79,294 |
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