Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville Beach, FL, holding Type 2 (organization) NPI 1902828544 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902828544 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 490 MARSH LANDING PKWY, Jacksonville Beach, FL, 32250 |
| Phone | 9042736387 |
| Fax | 9045436241 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-09-22 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | PH 29710 | FL |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014105 | Other | — | PK |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1902828544 Taxonomy: 333600000X (Pharmacy) Address: 490 MARSH LANDING PKWY, Jacksonville Beach, FL, 32250
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134413982 | Dawn Busch | Individual | Pharmacist | Jacksonville Beach, FL |
| 1184919904 | Kathryn Moyer | Individual | Pharmacist | Jacksonville Beach, FL |
| 1124579172 | Luxottica of America Inc. | Organization | Eyewear Supplier | Jacksonville, FL |
| 1265035737 | Jessica Proctor | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Jacksonville Beach, FL |
| 1144958281 | Alexandra Patron | Individual | Pharmacist | Jacksonville Beach, FL |
Verify this record
Cross-check NPI 1902828544 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 2016-09-22.