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Holiday Cvs LLC

Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Tallahassee, FL, holding Type 2 (organization) NPI 1649374596 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.

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NPI 1649374596
Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 3831 N MONROE ST, Tallahassee, FL, 32303
Phone 8505360417
Fax 8505360468
Enumeration date 2006-09-12
Last updated in NPPES 2012-11-21

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 20725 FL

Other identifiers

Identifier Type State Issuer
105668900 Medicaid FL
1064992 Other OTHER ID NUMBER-COMMERCIAL NUMBER
Copy-ready billing details
Provider: Holiday Cvs LLC
NPI: 1649374596
Taxonomy: 333600000X (Pharmacy)
Address: 3831 N MONROE ST, Tallahassee, FL, 32303

Providers at this address

NPI Name Type Specialty Location
1780288092 Jennifer Cobb Individual Pharmacist Tallahassee, FL
1972107282 Dennie Chandler Individual Pharmacist Tallahassee, FL
1124893219 Bryant Mutanga Individual Pharmacist Tallahassee, FL
1871348276 Lily Sapp Individual Pharmacist Tallahassee, FL

Verify this record

Cross-check NPI 1649374596 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?
The practice location on file with NPPES is in Tallahassee, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-21.