CVS PHARMACY # 05400
NPI 1447589940
Pharmacy in Orlando, FL

Active since December 11, 2009CLIA 10D2227812 · Waiver
6790 CENTRAL FLORIDA PKWY, ORLANDO, FL 32821(407) 238-4726 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 05400 NPPES

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

CVS PHARMACY # 05400 (NPI 1447589940) is a healthcare organization registered as a pharmacy in Orlando, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Sue Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1447589940
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS, L.L.C.
Location Address6790 CENTRAL FLORIDA PKWYOrlando, FL 32821-6025
Mailing Address1 Cvs Dr, Box 1075- Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSue ColbertDirector, Payer Relations · (401) 765-1500
Enumeration DateDecember 11, 2009
Last NPPES UpdateOctober 25, 2010
NPI 1447589940 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
6790 CENTRAL FLORIDA PKWY, Orlando, FL 32821

Other Names 1

Doing Business AsCvs Pharmacy # 05400

Other Identifiers 5

Medicare PINBC034
Other1051452Ncpdp
Medicare NSC5140820655
Medicaid001842000FL
Other001842001FL · Dme

Accepted 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 10D2227812

Holiday CVS LLC Dba Cvs/Pharmacy #5400 · Orlando, FL
Active · expires Jun 16, 2027
CLIA Number10D2227812
Laboratory TypePharmacy
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorSarah Reitz
Laboratory Phone(407) 238-4726
Laboratory LocationHoliday CVS LLC Dba Cvs/Pharmacy #54006790 Central Florida Parkway, Orlando, FL 32821
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
23 services23 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.
11 services11 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05400 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05400

DMEPOS supplier · Orlando, FLOperated by Holiday CVS LLC

Accepts Medicare assignment

CVS Pharmacy #05400 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)20430773
Medicare Participant SinceJanuary 1, 2019
Supplier Location6790 Central Florida PkwyOrlando, FL 32821
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.

Pharmacist
6790 CENTRAL FLORIDA PKWY
ORLANDO, FL 32821
Pharmacist
6790 CENTRAL FLORIDA PKWY
ORLANDO, FL 32821

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, L.L.C.'s NPI number?

The NPI number for Holiday CVS, L.L.C. is 1447589940. It was assigned to this organization in the NPPES registry on December 11, 2009. The provider is doing business as CVS Pharmacy # 05400.

Where is Holiday CVS, L.L.C. located?

Holiday CVS, L.L.C. is located at 6790 Central Florida Pkwy, Orlando, FL 32821. The listed phone number is (407) 238-4726.

What is Holiday CVS, L.L.C.'s specialty?

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

Does Holiday CVS, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05400 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Holiday CVS, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227812) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holiday CVS, L.L.C. 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, L.L.C. 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, L.L.C. was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.