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Holiday Cvs LLC

Pharmacy in Saint Augustine, FL · enumerated 2008 · authorized official Susan Colbert, Director Phcy Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073790879

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Registry record

Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 46 East Watson Road, Saint Augustine, FL, 32086
Phone (904) 797-6774
Enumeration date Jan 24, 2008
Last updated in NPPES Sep 26, 2011

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Colbert
Title Director Phcy Enrollments
Phone (401) 765-2751

Other identifiers

Identifier Type State Issuer
032553801 Other FL DME
032553800 Medicaid FL -
1032375 Other - NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Holiday Cvs LLC?
NPPES lists Susan Colbert (Director Phcy Enrollments) as the authorized official for this organization.
What is the NPI number for Holiday Cvs LLC?
The NPI for Holiday Cvs LLC is 1073790879, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-26.