Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Live Oak, FL, holding Type 2 (organization) NPI 1205930161 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205930161 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 1005 OHIO AVE S, Live Oak, FL, 32064 |
| Phone | 3863625183 |
| Fax | 3863624887 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-11-21 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director Phcy Enrollments |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | FL |
| 333600000X | Pharmacy | Primary | 20700 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079169 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 105942400 | Medicaid | FL | — |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1205930161 Taxonomy: 333600000X (Pharmacy) Address: 1005 OHIO AVE S, Live Oak, FL, 32064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104420009 | Kristin Ratliff | Individual | Pharmacist | Live Oak, FL |
| 1609471952 | Shahed Baniahmad | Individual | Pharmacist | Live Oak, FL |
| 1992431167 | Thomas Barber | Individual | Pharmacist | Live Oak, FL |
Verify this record
Cross-check NPI 1205930161 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
How current is this record?
Where is Holiday Cvs LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-21.