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Holiday Cvs LLC

Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville, FL, holding Type 2 (organization) NPI 1356445233 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.

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NPI 1356445233
Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 9509 SAN JOSE BLVD, Jacksonville, FL, 32257
Phone 9042887865
Enumeration date 2006-09-12
Last updated in NPPES 2011-09-27

Authorized official

Name Susan Colbert
Title Director Phcy Enrollments
Phone 4017702751

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Secondary
333600000X Pharmacy Primary PH20870 FL

Other identifiers

Identifier Type State Issuer
105793600 Medicaid FL
1007308 Other OTHER ID NUMBER-COMMERCIAL NUMBER
Copy-ready billing details
Provider: Holiday Cvs LLC
NPI: 1356445233
Taxonomy: 333600000X (Pharmacy)
Address: 9509 SAN JOSE BLVD, Jacksonville, FL, 32257

Providers at this address

NPI Name Type Specialty Location
1871198754 Debra Maron Individual Pharmacist Jacksonville, FL
1124623632 Nicole Meringolo Individual Pharmacist Jacksonville, FL
1609598648 Hammad Kalim Individual Pharmacist Jacksonville, FL

Verify this record

Cross-check NPI 1356445233 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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-27. Verify at npiregistry.cms.hhs.gov.
Where is Holiday Cvs LLC located?
The practice location on file with NPPES is in Jacksonville, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-27.