CVS PHARMACY #03466
NPI 1457455354
Pharmacy in St Petersburg, FL

Active since September 12, 2006CLIA 10D2225998 · Waiver
5400 4TH ST N, ST PETERSBURG, FL 33703(727) 525-2184(727) 522-6801 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #03466 NPPES

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

CVS PHARMACY #03466 (NPI 1457455354) is a healthcare organization registered as a pharmacy in St Petersburg, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1457455354
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address5400 4TH ST NSt Petersburg, FL 33703-2250
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Fax(727) 522-6801
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateSeptember 10, 2012
NPI 1457455354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in FL · 20335
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
5400 4TH ST N, St Petersburg, FL 33703

Other Names 1

Doing Business AsCvs Pharmacy #03466

Other Identifiers 4

Medicare NSC5140820145
Medicare PINBC034FL
Medicaid105843600FL
Other1041146Other Id Number-commercial Number

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 bvl 30mcg/.3ml a

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 41 times for 41 patients

Administration of influenza virus vaccine

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.

This service was performed 187 times for 187 patients

Administration of pneumococcal vaccine

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.

This service was performed 23 times for 23 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 59 times for 59 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 127 times for 127 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 16 times for 16 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

This service was performed 1,053 times for 118 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20432531
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2225998
Facility Type
Pharmacy
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
JOSHUA GESIORSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cvs Pharmacy #03466 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacist
5400 4TH ST N
SAINT PETERSBURG, FL 33703
Pharmacist
5400 4TH ST N
SAINT PETERSBURG, FL 33703
Pharmacist
5400 4TH ST N
ST PETERSBURG, FL 33703
Pharmacist
5400 4TH ST N
ST PETERSBURG, FL 33703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457455354, enumerated as an "organization" on September 12, 2006.

The provider is located at 5400 4TH ST N ST PETERSBURG, FL 33703 and the phone number is (727) 525-2184.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.