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Holiday Cvs LLC

Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Port Charlotte, FL, holding Type 2 (organization) NPI 1124040746 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.

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NPI 1124040746
Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 1400A TAMIAMI TRL, Port Charlotte, FL, 33948
Phone 9412551682
Fax 9414673305
Enumeration date 2006-07-24
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 29674 FL
333600000X Pharmacy Primary

Other identifiers

Identifier Type State Issuer
2011130 Other PK
Copy-ready billing details
Provider: Holiday Cvs LLC
NPI: 1124040746
Taxonomy: 333600000X (Pharmacy)
Address: 1400A TAMIAMI TRL, Port Charlotte, FL, 33948

Providers at this address

NPI Name Type Specialty Location
1841584687 Lindsey Sandsmark Individual Pharmacist Port Charlotte, FL
1649564451 Ruth Fishman Individual Pharmacist Port Charlotte, FL
1467132456 Ariana Rupan Individual Pharmacist Port Charlotte, FL

Verify this record

Cross-check NPI 1124040746 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 Port Charlotte, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-09-22.