Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville Beach, FL, holding Type 2 (organization) NPI 1366546244 since 2006. The authorized official on file is Susan Colbert, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366546244 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 1504 3RD ST S, Jacksonville Beach, FL, 32250 |
| Phone | 9042467596 |
| Fax | 9042412297 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-09-24 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director |
| Phone | 4017651500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 20404 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105906800 | Medicaid | FL | — |
| P00754232 | Other | FL | MEDICARE RR |
| 1006178 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1366546244 Taxonomy: 333600000X (Pharmacy) Address: 1504 3RD ST S, Jacksonville Beach, FL, 32250
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467938696 | Kelly Holcomb | Individual | Pharmacist | Jacksonville Beach, FL |
| 1649739228 | Ketrin Lezo | Individual | Ambulatory Care Pharmacist | Jacksonville Beach, FL |
| 1023613981 | Asia Mixson | Individual | Pharmacist | Jacksonville Beach, FL |
| 1609472091 | India Briggs | Individual | Pharmacist | Jacksonville Beach, FL |
Verify this record
Cross-check NPI 1366546244 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 is a Type 2 NPI?
What type of organization is Holiday Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-24.