HOLIDAY CVS LLC NPI 1760586747

NPI Information

NPI: 1760586747
Provider Name: HOLIDAY CVS LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Doing Business As: CVS PHARMACY # 00536
Address: 3187 S CONGRESS AVE
PALM SPRINGS, FL
ZIP 33461
Phone: (561) 965-3367

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NPI Details

HOLIDAY CVS LLC is a pharmacy in Palm Springs, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HOLIDAY CVS LLC NPI is 1760586747. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 00536.

The provider's business location address is:

3187 S CONGRESS AVE
PALM SPRINGS, FL
ZIP 33461-551
Phone: (561) 965-3367
Fax: (561) 439-3905

The provider's authorized official is Susan F Colbert .
The authorized official title is Director Payer Relations and has the following contact phone number (401) 770-2751.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
Fee covid-19 vac 14 res (HCPCS:0134A)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine split virus, preservative free (HCPCS:90662)
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy	20746	FLORIDA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	333600000X	Pharmacy				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5140820704	MEDICARE NSC
2	1005493	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
3	105976900	MEDICAID	FLORIDA
4	BC034A	MEDICARE PIN
5	1005493	OTHER		OTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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