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CVS PHARMACY 03673
NPI 1457455370
Pharmacy in Deland, FL

Active since September 12, 2006CLIA 10D2227035 · Waiver
2497 S WOODLAND BLVD, DELAND, FL 32720(386) 736-9001(386) 738-9810 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy 03673 NPPES

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

CVS PHARMACY 03673 (NPI 1457455370) is a healthcare organization registered as a pharmacy in Deland, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Susan F Colbert, Director Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1457455370
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address2497 S WOODLAND BLVDDeland, FL 32720-8637
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(386) 736-9001
Fax(386) 738-9810
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Phcy Enrollments · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 14, 2012
✔ NPI 1457455370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · 20450
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
2497 S WOODLAND BLVD, Deland, FL 32720
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Other Names 1

Doing Business AsCvs Pharmacy 03673

Other Identifiers 5

Medicare PINBC034FL
Medicare PINP00754232
Other1054357Other Id Number-commercial Number
Medicaid105765100FL
Medicare NSC5140820260

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 10D2227035

Holiday CVS LLC Dba Cvs/Pharmacy #3673 · Deland, FL
Active · expires Jun 6, 2027
CLIA Number10D2227035
Laboratory TypePharmacy
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorPeter Adeosun
Laboratory Phone(386) 736-9001
Laboratory LocationHoliday CVS LLC Dba Cvs/Pharmacy #36732497 S Woodland Blvd, Deland, FL 32720
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 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.
227 services225 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.
204 services204 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.
30 services30 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.
27 services27 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

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 03673 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 03673

DMEPOS supplier · Deland, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 03673 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)20434229
Medicare Participant SinceJanuary 1, 2019
Supplier Location2497 S Woodland BlvdDeland, FL 32720
Phone(386) 736-9001
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.

TINH-TAM V0 TA RPH
Pharmacist
2497 S WOODLAND BLVD
DELAND, FL 32720
Volusia County (386) 736-9001
KOMAL PATEL RPH
Pharmacist
2497 S WOODLAND BLVD
DELAND, FL 32720
Volusia County (937) 736-9001

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 1457455370. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy 03673.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 2497 S Woodland Blvd, Deland, FL 32720. The listed phone number is (386) 736-9001.

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 # 03673 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 10D2227035) is associated with this NPI, valid through June 6, 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 35 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 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.