Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville, FL, holding Type 2 (organization) NPI 1568566446 since 2006. The authorized official on file is Susan Colbert, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568566446 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 4475 SAN JUAN AVE, Jacksonville, FL, 32210 |
| Phone | 9043890314 |
| Fax | 9043873165 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2012-03-13 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 20714 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005948 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 105893200 | Medicaid | FL | — |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1568566446 Taxonomy: 333600000X (Pharmacy) Address: 4475 SAN JUAN AVE, Jacksonville, FL, 32210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780021436 | Nicole Moore | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1962889048 | Dovie Tinana | Individual | Nurse Practitioner | Jacksonville, FL |
| 1912412883 | Kristin Tonto | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1376161984 | Kathryn Braddy-Dillard | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1851908107 | Lakeshia Holsey | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1730783184 | David Dzion | Individual | Pharmacist | Jacksonville, FL |
| 1780288068 | Jiten Patel | Individual | Pharmacist | Jacksonville, FL |
| 1700482395 | Mary Green | Individual | Pharmacist | Jacksonville, FL |
Verify this record
Cross-check NPI 1568566446 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
Where is Holiday Cvs LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-13.