Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville, FL, holding Type 2 (organization) NPI 1740384619 since 2006. The authorized official on file is Susan Colbert, Director Phcy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740384619 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 4280 SOUTHSIDE BLVD, Jacksonville, FL, 32216 |
| Phone | 9049983677 |
| Fax | 9049981553 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2011-09-26 |
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 | 20196 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106268900 | Medicaid | FL | — |
| 1082077 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1740384619 Taxonomy: 333600000X (Pharmacy) Address: 4280 SOUTHSIDE BLVD, Jacksonville, FL, 32216
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568792893 | Stephanie Dorsey | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1083928378 | Tiffany Lau | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1154685410 | Stacy Williams | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1780932699 | Brianne Thurman | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1639514326 | Lisa Ugles | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1730519885 | Patricia Bowman | Individual | Family Nurse Practitioner | Jacksonville, FL |
| 1689095788 | Adrienne Deberry | Individual | Pharmacist | Jacksonville, FL |
| 1649749771 | Karen Greenan | Individual | Family Nurse Practitioner | Jacksonville, FL |
Verify this record
Cross-check NPI 1740384619 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 type of organization is Holiday Cvs LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-26.