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CVS PHARMACY 03650
NPI 1205933793
Pharmacy in Tampa, FL

Active since September 19, 2006CLIA 10D2227388 · Waiver
625 W MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603(813) 232-2925 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy 03650 NPPES

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

CVS PHARMACY 03650 (NPI 1205933793) is a healthcare organization registered as a pharmacy in Tampa, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Susan F Colbert, Director Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205933793
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address625 W MARTIN LUTHER KING JR BLVDTampa, FL 33603
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(813) 232-2925
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Phcy Enrollments · (401) 770-2751
Enumeration DateSeptember 19, 2006
Last NPPES UpdateMarch 10, 2010
✔ NPI 1205933793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH18591
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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
625 W MARTIN LUTHER KING JR BLVD, Tampa, FL 33603
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Other Names 1

Doing Business AsCvs Pharmacy 03650

Other Identifiers 3

Medicare NSC5140820264
Medicare PINBC034FL
Other1095733Other 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

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 10D2227388

Holiday CVS, LLC Dba Cvs/Pharmacy #3650 · Tampa, FL
Active · expires Jun 10, 2027
CLIA Number10D2227388
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorLam Nguyen
Laboratory Phone(813) 232-2925
Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #3650625 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
86 services85 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.
67 services67 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.
15 services15 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 03650 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 03650

DMEPOS supplier · Tampa, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 03650 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)20434541
Medicare Participant SinceJanuary 1, 2019
Supplier Location625 W Martin Luther King Jr BvTampa, FL 33603
Phone(813) 232-2925
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.

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 1205933793. It was assigned to this organization in the NPPES registry on September 19, 2006. The provider is doing business as CVS Pharmacy 03650.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 625 W Martin Luther King Jr Blvd, Tampa, FL 33603. The listed phone number is (813) 232-2925.

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 # 03650 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 10D2227388) is associated with this NPI, valid through June 10, 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 March 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.