Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Pace, FL, holding Type 2 (organization) NPI 1114135639 since 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114135639 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 4727 HIGHWAY 90, Pace, FL, 32571 |
| Phone | 8509957821 |
| Fax | 8509957831 |
| Enumeration date | 2007-05-18 |
| Last updated in NPPES | 2016-09-22 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | PH 29676 | FL |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009185 | Other | — | PK |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1114135639 Taxonomy: 333600000X (Pharmacy) Address: 4727 HIGHWAY 90, Pace, FL, 32571
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598059610 | Jaime Principe | Individual | Pharmacist | Pace, FL |
| 1871888255 | Matthew Walters | Individual | Pharmacist | Pace, FL |
| 1861776544 | Tiffany Nunez-Ocampo | Individual | Pharmacist | Pace, FL |
| 1164843868 | Melanie Carr | Individual | Pharmacist | Pace, FL |
Verify this record
Cross-check NPI 1114135639 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
Who is the authorized official for Holiday Cvs LLC?
What is the NPI number for Holiday Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-09-22.