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CVS PHARMACY# 10111
NPI 1124427539
Pharmacy in Miami, FL

Active since August 21, 2014CLIA 10D2283931 · Waiver
5748 SW 40TH ST, MIAMI, FL 33155(305) 661-5650 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy# 10111 NPPES

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

CVS PHARMACY# 10111 (NPI 1124427539) is a healthcare organization registered as a pharmacy in Miami, Florida and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Susan Colbert, Sr Director,payer Relations, as its authorized official.

NPPES Registry Identity

NPI1124427539
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address5748 SW 40TH STMiami, FL 33155-5302
Mailing Address1 Cvs Dr, Box 1075 Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(305) 661-5650
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director,payer Relations · (401) 770-2751
Enumeration DateAugust 21, 2014
Last NPPES UpdateJune 3, 2015
✔ NPI 1124427539 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
5748 SW 40TH ST, Miami, FL 33155
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Other Names 1

Doing Business AsCvs Pharmacy# 10111

Other Identifiers 4

Medicare NSC5140820759
Other5722473Ncpdp
Medicare PINBC034B
Medicaid013616000FL

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2283931

Holiday CVS LLC Dba Cvspharmacy #10111 · Miami, FL
Active · expires Jun 13, 2027
CLIA Number10D2283931
Laboratory TypePharmacy
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorMartha Alvarez
Laboratory Phone(305) 661-5650
Laboratory LocationHoliday CVS LLC Dba Cvspharmacy #101115748 SW 40th St, Miami, FL 33155
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
261 services259 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
206 services206 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
38 services38 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
35 services35 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
33 services33 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #10111 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10111

DMEPOS supplier · Miami, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #10111 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)20431109
Medicare Participant SinceJanuary 1, 2019
Supplier Location5748 SW 40th StreetMiami, FL 33155
Phone(305) 661-5650
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 3

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

MARILYN TORRES PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5748 SW 40TH ST
MIAMI, FL 33155
Miami-Dade County (305) 661-5650
SAILY IZQUIERDO GONZALEZ RPH
Pharmacist
5748 SW 40TH ST
MIAMI, FL 33155
Miami-Dade County (305) 661-5650
NANCY EBRAHIM
Pharmacist
5748 SW 40TH ST
MIAMI, FL 33155
Miami-Dade County (305) 661-5650

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 1124427539. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as CVS Pharmacy# 10111.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 5748 SW 40th St, Miami, FL 33155. The listed phone number is (305) 661-5650.

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 #10111 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Holiday CVS LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2283931) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 34 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 June 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.