Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Lakeland, FL, holding Type 2 (organization) NPI 1174627061 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174627061 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 5010 S FLORIDA AVE, Lakeland, FL, 33813 |
| Phone | 8636442411 |
| Fax | 8636484696 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-08-23 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 20556 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034090 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 105574700 | Medicaid | FL | — |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1174627061 Taxonomy: 333600000X (Pharmacy) Address: 5010 S FLORIDA AVE, Lakeland, FL, 33813
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093945594 | Ludmyla Staddon | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1891076048 | Anne Stouten | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1710260153 | Jennifer Ksaibati | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1457738890 | Jessy Abraham | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1447608377 | Alanna Lasseter | Individual | Clinical Social Worker | Lakeland, FL |
| 1710439138 | Loreana Nelson | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1568001774 | Theava Preston | Individual | Family Nurse Practitioner | Lakeland, FL |
| 1467089557 | Shaun Gamse | Individual | Family Nurse Practitioner | Lakeland, FL |
Verify this record
Cross-check NPI 1174627061 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
What type of organization is Holiday Cvs LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-23.