CVS PHARMACY #17275
NPI 1063698470
Pharmacy in Miami Gardens, FL

Q: What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1063698470. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as CVS Pharmacy #17275.

Q: What is Holiday CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 16, 2008

5601 NW 183RD ST, MIAMI GARDENS, FL 33055(305) 760-7009(305) 760-7019 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2016, Aug 25, 2016 (2 updates tracked since 2016).

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About Cvs Pharmacy #17275 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #17275 (NPI 1063698470) is a healthcare organization registered as a pharmacy in Miami Gardens, Florida and active in the NPI registry since January 2008. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1063698470

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOLIDAY CVS LLC

Location Address5601 NW 183RD STMiami Gardens, FL 33055-2305

Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(305) 760-7009

Fax(305) 760-7019

Organization SubpartNo

Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751

Enumeration DateJanuary 16, 2008

Last NPPES UpdateSeptember 22, 20162 updates tracked since enumeration

✔ NPI 1063698470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PH 29716 (FL)

5601 NW 183RD ST, Miami Gardens, FL 33055

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Other Names 1

Doing Business AsCvs Pharmacy #17275

Other Identifiers 2

Other2010595Pk

Medicare NSC5140820842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17275 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17275

DMEPOS supplier · Miami Gardens, FLOperated by Holiday CVS LLC

✔

Accepts Medicare assignment

CVS Pharmacy #17275 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20433767

Medicare Participant SinceJanuary 1, 2019

Supplier Location5601 NW 183rd StMiami Gardens, FL 33055

Phone(305) 760-7009

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TWENTY20 VISION CENTER LLC

Optometrist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7008

SAHAR ELTALLA OD

Optometrist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7008

DR. NICHOLAS DAMON SMITH

Pharmacist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7009

GISSELL D GALLO ARJONA

Pharmacist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7009

LUXOTTICA OF AMERICA INC

Eyewear Supplier

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7048

DENISSE GODOY PHARM. D.

Pharmacist

5601 NW 183RD ST, T-2196
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7009

DR. TAREQ AL ZAIDI OD

Optometrist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7048

MS. ALEXANDRA RIVERA-CRUZ PHARMD.

Pharmacist

5601 NW 183RD ST
MIAMI GARDENS, FL 33055

Miami-Dade County (305) 760-7009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1063698470. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as CVS Pharmacy #17275.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 5601 NW 183rd St, Miami Gardens, FL 33055. The listed phone number is (305) 760-7009.

What is Holiday CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Holiday CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #17275 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Holiday CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Holiday CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.