CVS PHARMACY #04801
NPI 1457455321
Pharmacy in Lakeland, FL

Q: What is Holiday CVS LLC's NPI number?

The NPI number for Holiday CVS LLC is 1457455321. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #04801.

Q: What is Holiday CVS LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holiday CVS LLC was last updated on August 16, 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.

Active since September 12, 2006CLIA 10D2222267 · Waiver

6170 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813(863) 619-6409(863) 619-8407 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cvs Pharmacy #04801 NPPES

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

CVS PHARMACY #04801 (NPI 1457455321) is a healthcare organization registered as a pharmacy in Lakeland, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1457455321

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOLIDAY CVS LLC

Location Address6170 LAKELAND HIGHLANDS RDLakeland, FL 33813-3850

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(863) 619-6409

Fax(863) 619-8407

Organization SubpartNo

Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateAugust 16, 2012

✔ NPI 1457455321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · 20279

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

6170 LAKELAND HIGHLANDS RD, Lakeland, FL 33813

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Other Names 1

Doing Business AsCvs Pharmacy #04801

Other Identifiers 4

Medicaid021436100FL

Medicare PINBC034

Medicare NSC5140820342

Other1085592Other 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 10D2222267

Holiday CVS, LLC Dba Cvs/Pharmacy #4801 · Lakeland, FL

Active · expires Apr 27, 2027

CLIA Number10D2222267

Laboratory TypePharmacy

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorJames Crawshaw

Laboratory Phone(863) 619-6409

Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #48016170 Lakeland Highlands Rd, Lakeland, FL 33813

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 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.

129 services128 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.

112 services111 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.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 04801 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 04801

DMEPOS supplier · Lakeland, FLOperated by Holiday CVS LLC

✔

Accepts Medicare assignment

CVS Pharmacy # 04801 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)20426165

Medicare Participant SinceJanuary 1, 2019

Supplier Location6170 Lakeland Highlands RdLakeland, FL 33813

Phone(863) 619-6409

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.

ANH LE PHARMD

Pharmacist

6170 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813

Polk County (863) 619-6409

JAMES CRAWSHAW

Pharmacist

6170 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813

Polk County (863) 619-6409

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 1457455321. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #04801.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 6170 Lakeland Highlands Rd, Lakeland, FL 33813. The listed phone number is (863) 619-6409.

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 # 04801 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 10D2222267) is associated with this NPI, valid through April 27, 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 August 16, 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.