Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville, FL, holding Type 2 (organization) NPI 1558465468 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558465468 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 120 SAINT JOHNS COMMONS RD, Jacksonville, FL, 32259 |
| Phone | 9048249177 |
| Fax | 9048249482 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-09-24 |
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 | — | — |
| 333600000X | Pharmacy | Primary | 20645 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025850401 | Other | FL | DME |
| 025850400 | Medicaid | FL | — |
| 1097220 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1558465468 Taxonomy: 333600000X (Pharmacy) Address: 120 SAINT JOHNS COMMONS RD, Jacksonville, FL, 32259
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477835320 | Jodi Spencer | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1437594520 | Natasha Henderson | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1093197485 | Cassidy Descallar | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1033577499 | Katherine Male | Individual | Family Nurse Practitioner | Saint Johns, FL |
| 1003364209 | Amy Jenkins | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1326601501 | Sailaja Ravilla | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1578179123 | Ashley Turbyfill | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1336746668 | Katherine Prevatt | Individual | Family Nurse Practitioner | Jacksonville, FL |
Verify this record
Cross-check NPI 1558465468 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 the NPI number for Holiday Cvs LLC?
Who is the authorized official for Holiday Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-24.