Holiday Cvs LLC
Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Lake Mary, FL, holding Type 2 (organization) NPI 1912929530 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912929530 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holiday Cvs LLC |
| Other name | <Unavail> |
| Practice address | 4155 W LAKE MARY BLVD, Lake Mary, FL, 32746 |
| Phone | 4073309190 |
| Fax | 4075473513 |
| 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 29681 | FL |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011790 | Other | — | PK |
Copy-ready billing details
Provider: Holiday Cvs LLC NPI: 1912929530 Taxonomy: 333600000X (Pharmacy) Address: 4155 W LAKE MARY BLVD, Lake Mary, FL, 32746
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477625978 | Angela Adams | Individual | Pharmacist | Lake Mary, FL |
| 1861789497 | Alexandra Todd | Individual | Pharmacist | Lake Mary, FL |
| 1316221203 | Diptesh Amin | Individual | Pharmacist | Lake Mary, FL |
| 1891194007 | Dao Tran | Individual | Pharmacist | Lake Mary, FL |
| 1972978112 | Smita Shrivastava | Individual | Ambulatory Care Pharmacist | Lake Mary, FL |
| 1205552783 | Karin Ishak | Individual | Pharmacist | Lake Mary, FL |
Verify this record
Cross-check NPI 1912929530 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 2016-09-22.