Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Lake Wales, FL, holding Type 2 (organization) NPI 1164526141 since 2006. The authorized official on file is Susan Colbert, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164526141 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 500 S 11TH ST, Lake Wales, FL, 33853 |
| Phone | 8636762564 |
| Fax | 8636781353 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2023-01-10 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 20675 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004530 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 105631000 | Medicaid | FL | — |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1164526141 Taxonomy: 333600000X (Pharmacy) Address: 500 S 11TH ST, Lake Wales, FL, 33853
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275139396 | Anu Raju | Individual | Pharmacist | Lake Wales, FL |
| 1528664620 | Sudhakar Pinnamaneni | Individual | Pharmacist | Lake Wales, FL |
Verify this record
Cross-check NPI 1164526141 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 2026-07-11. Provider record last updated 2023-01-10.