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CVS PHARMACY 04440
NPI 1194829044
Pharmacy in Fort Walton Beach, FL

Active since September 12, 2006CLIA Certified · 2 labs
434 RACETRACK RD NE, FORT WALTON BEACH, FL 32547(850) 315-0474(850) 315-0487 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy 04440 NPPES

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

CVS PHARMACY 04440 (NPI 1194829044) is a healthcare organization registered as a pharmacy in Fort Walton Beach, Florida and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan F Colbert, Director Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1194829044
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address434 RACETRACK RD NEFort Walton Beach, FL 32547-3924
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(850) 315-0474
Fax(850) 315-0487
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Phcy Enrollments · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 15, 2016
✔ NPI 1194829044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · 20747
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
434 RACETRACK RD NE, Fort Walton Beach, FL 32547
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Other Names 1

Doing Business AsCvs Pharmacy 04440

Other Identifiers 5

Medicare PINP00949650
Other1064891Other Id Number-commercial Number
Medicare PINBC034CFL
Medicaid105558500FL
Medicare NSC5140820371

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 10D2221892

Holiday CVS LLC Dba Cvs/Pharmacy #4440 · Fort Walton Beach, FL
Active · expires Apr 25, 2027
CLIA Number10D2221892
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorAli Abdulmajeed
Laboratory Phone(850) 315-0474
Laboratory LocationHoliday CVS LLC Dba Cvs/Pharmacy #4440434 Racetrack Rd NE, Fort Walton Beach, FL 32547
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 10D2221860

Holiday CVS LLC Dba Cvs/Pharmacy #5194 · Fort Walton Beach, FL
Active · expires Apr 25, 2027
CLIA Number10D2221860
Laboratory TypePharmacy
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorAmber Waters
Laboratory Phone(401) 770-6431
Laboratory LocationHoliday CVS LLC Dba Cvs/Pharmacy #51941081 Beal Pkwy NW, Fort Walton Beach, FL 32547
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.
202 services200 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.
181 services181 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.
43 services43 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.
43 services43 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 04440 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 04440

DMEPOS supplier · Fort Walton Beach, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 04440 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)20423243
Medicare Participant SinceJanuary 1, 2019
Supplier Location434 Racetrack Rd NEFort Walton Beach, FL 32547
Phone(850) 315-0474
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.

SARAH DREW HUDSON PHARMD
Pharmacist
434 RACETRACK RD NE
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 315-0474
JESSICA FLORES
Pharmacist
434 RACETRACK RD NE
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 315-0474

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 1194829044. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy 04440.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 434 Racetrack Rd NE, Fort Walton Beach, FL 32547. The listed phone number is (850) 315-0474.

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 # 04440 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 November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.