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CVS PHARMACY #07983
NPI 1194820936
Pharmacy in Fort Myers, FL

Active since September 14, 2006CLIA Certified · 2 labs
11300 STATE ROAD 82, FORT MYERS, FL 33905(239) 461-0147 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #07983 NPPES

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

CVS PHARMACY #07983 (NPI 1194820936) is a healthcare organization registered as a pharmacy in Fort Myers, Florida and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan F Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1194820936
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address11300 STATE ROAD 82Fort Myers, FL 33905-5400
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(239) 461-0147
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1194820936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH21477
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
11300 STATE ROAD 82, Fort Myers, FL 33905
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Other Names 1

Doing Business AsCvs Pharmacy #07983

Other Identifiers 4

Medicare PINBC034A
Medicare PINP00949648
Medicare NSC5140820549
Other1013084Other Id Number-commercial Number

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 2

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 10D2227887

Holiday CVS, LLC Dba CVS Pharmacy #7983 · Fort Myers, FL
Active · expires Jun 17, 2027
CLIA Number10D2227887
Laboratory TypePharmacy
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorTracy Bonney
Laboratory Phone(239) 461-0147
Laboratory LocationHoliday CVS, LLC Dba CVS Pharmacy #798311300 State Road 82, Fort Myers, FL 33905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2284159

Holiday CVS, LLC Dba Cvs/Pharmacy #3433 · Fort Myers, FL
Active · expires Jun 19, 2027
CLIA Number10D2284159
Laboratory TypePharmacy
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJamil Rasul
Laboratory Phone(866) 389-2727
Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #343314411 Palm Beach Blvd, Fort Myers, FL 33905
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
224 services224 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.
138 services138 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.
82 services82 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.
14 services14 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #07983 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #07983

DMEPOS supplier · Fort Myers, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #07983 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)20426603
Medicare Participant SinceJanuary 1, 2019
Supplier Location11300 State Road 82Fort Myers, FL 33905
Phone(239) 461-0147
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 2

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

EDGARDO SUAREZ RPH
Pharmacist
11300 STATE ROAD 82
FORT MYERS, FL 33905
Lee County (239) 461-0147
DR. JOSHUA PECHINEY PHARMD
Pharmacist
11300 STATE ROAD 82
FORT MYERS, FL 33905
Lee County (239) 461-0147

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 1194820936. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as CVS Pharmacy #07983.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 11300 State Road 82, Fort Myers, FL 33905. The listed phone number is (239) 461-0147.

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 #07983 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Holiday CVS LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.