CVS PHARMACY #03756
NPI 1497859300
Pharmacy in Hialeah, FL

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

The NPI number for Holiday CVS LLC is 1497859300. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #03756.

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 January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2006CLIA 10D2227422 · Waiver

2391 W 68TH ST, HIALEAH, FL 33016(305) 820-2122 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy #03756 NPPES

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

CVS PHARMACY #03756 (NPI 1497859300) is a healthcare organization registered as a pharmacy in Hialeah, 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, Exec Dir, Rx Services, as its authorized official.

NPPES Registry Identity

NPI1497859300

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOLIDAY CVS LLC

Location Address2391 W 68TH STHialeah, FL 33016-6816

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146

Phone(305) 820-2122

Organization SubpartNo

Authorized OfficialSusan F ColbertExec Dir, Rx Services · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateJanuary 12, 2023

NPPES CertifiedJanuary 12, 2023

✔ NPI 1497859300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · PH18710

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

2391 W 68TH ST, Hialeah, FL 33016

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Other Names 1

Doing Business AsCvs Pharmacy #03756

Other Identifiers 1

Other1096230Other 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 10D2227422

Holiday CVS, LLC Dba Cvs/Pharmacy #3756 · Hialeah, FL

Active · expires Jun 10, 2027

CLIA Number10D2227422

Laboratory TypePharmacy

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorKidenia Mutis

Laboratory Phone(305) 820-2122

Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #37562391 W 68th St, Hialeah, FL 33016

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 03756 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 03756

DMEPOS supplier · Hialeah, FLOperated by Holiday CVS LLC

✔

Accepts Medicare assignment

CVS Pharmacy # 03756 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)20423789

Medicare Participant SinceJanuary 1, 2019

Supplier Location2391 W 68th StHialeah, FL 33016

Phone(305) 820-2122

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.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICARDO EDGAR MANZANO

Pharmacist