Holiday Cvs LLC

Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Cocoa, FL, holding Type 2 (organization) NPI 1083718944 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.

✓ Active NPI ✓ Valid NPI checksum

NPI	1083718944
Entity type	Organization (Type 2)
Legal business name	Holiday Cvs LLC
Other name	<Unavail>
Practice address	2324 STATE ROAD 524, Cocoa, FL, 32926
Phone	3216369335
Fax	3216336205
Enumeration date	2006-09-12
Last updated in NPPES	2012-11-15

Authorized official

Name	Susan Colbert
Title	Director Phcy Enrollments
Phone	4017702751

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
3336C0003X	Community/Retail Pharmacy	Secondary	—	—
333600000X	Pharmacy	Primary	20563	FL

Other identifiers

Identifier	Type	State	Issuer
105548800	Medicaid	FL	—
1072747	Other	—	OTHER ID NUMBER-COMMERCIAL NUMBER

Copy-ready billing details

Provider: Holiday Cvs LLC
NPI: 1083718944
Taxonomy: 333600000X (Pharmacy)
Address: 2324 STATE ROAD 524, Cocoa, FL, 32926

Providers at this address

NPI	Name	Type	Specialty	Location
1821634296	Alissa Cannon	Individual	Student in an Organized Health Care Education/Training Program	Cocoa, FL
1588260814	Corey Gammon	Individual	Pharmacist	Cocoa, FL

Verify this record

Cross-check NPI 1083718944 against the authoritative CMS record: view Holiday Cvs LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Holiday Cvs LLC located?

The practice location on file with NPPES is in Cocoa, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-15.