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Holiday Cvs LLC

Pharmacy in Jensen Beach, FL · enumerated 2006 · authorized official Susan Colbert, Phcy Enrollments Rep.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225132129

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Registry record

Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 1255 Ne Jensen Beach Blvd, Jensen Beach, FL, 34957
Phone (772) 334-4204
Fax (772) 334-6743
Enumeration date Sep 12, 2006
Last updated in NPPES Nov 8, 2012

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 20295 (FL) Primary

Authorized official

Name Susan Colbert
Title Phcy Enrollments Rep
Phone (401) 770-2751

Other identifiers

Identifier Type State Issuer
105873800 Medicaid FL -
1037325 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

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.

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Frequently asked questions

Who is the authorized official for Holiday Cvs LLC?
NPPES lists Susan Colbert (Phcy Enrollments Rep) as the authorized official for this organization.
What is the NPI number for Holiday Cvs LLC?
The NPI for Holiday Cvs LLC is 1225132129, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-08.