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Holiday Cvs LLC

Holiday Cvs LLC is a healthcare organization registered as Pharmacy in Jacksonville, FL, holding Type 2 (organization) NPI 1922102805 since 2006. The authorized official on file is Susan Colbert, Director.

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NPI 1922102805
Entity type Organization (Type 2)
Legal business name Holiday Cvs LLC
Other name <Unavail>
Practice address 6005 SAINT AUGUSTINE RD, Jacksonville, FL, 32217
Phone 9047337600
Fax 9047378300
Enumeration date 2006-09-12
Last updated in NPPES 2011-09-23

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 20268 FL

Other identifiers

Identifier Type State Issuer
1005861 Other OTHER ID NUMBER-COMMERCIAL NUMBER
106039200 Medicaid FL
Copy-ready billing details
Provider: Holiday Cvs LLC
NPI: 1922102805
Taxonomy: 333600000X (Pharmacy)
Address: 6005 SAINT AUGUSTINE RD, Jacksonville, FL, 32217

Providers at this address

NPI Name Type Specialty Location
1699370700 Minh Thu Tran Individual Pharmacist Jacksonville, FL
1679169866 Deatra Johnson Individual Pharmacist Jacksonville, FL
1972337665 Jarrod Mcclendon Individual Pharmacist Jacksonville, FL

Verify this record

Cross-check NPI 1922102805 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?
Holiday Cvs LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-23.