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CVS PHARMACY #17309
NPI 1609926948
Pharmacy in Jacksonville, FL

Active since January 11, 2007
9525 CROSSHILL BLVD, JACKSONVILLE, FL 32222(904) 248-4367(904) 248-4367 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2016, Aug 25, 2016 (2 updates tracked since 2016).

About Cvs Pharmacy #17309 NPPES

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

CVS PHARMACY #17309 (NPI 1609926948) is a healthcare organization registered as a pharmacy in Jacksonville, Florida and active in the NPI registry since January 2007. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1609926948
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address9525 CROSSHILL BLVDJacksonville, FL 32222-5812
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(904) 248-4367
Fax(904) 248-4367
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 22, 20162 updates tracked since enumeration
✔ NPI 1609926948 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 · License PH 29668 (FL)
9525 CROSSHILL BLVD, Jacksonville, FL 32222
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Other Names 1

Doing Business AsCvs Pharmacy #17309

Other Identifiers 2

Other2008283Pk
Medicare NSC5140820831

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 ›

Areas of Expertise CMS Part B claims 2

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.
122 services119 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.
100 services100 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17309 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17309

DMEPOS supplier · Jacksonville, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #17309 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)20433089
Medicare Participant SinceJanuary 1, 2019
Supplier Location9525 Crosshill BlvdJacksonville, FL 32222
Phone(904) 248-4367
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
Infusion Drugs
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
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 8

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

HAPPY EYES, P.A.
Optometrist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 573-9482
DR. DANIEL KREPS PHARMD
Pharmacist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
ERIC CAIRNS
Pharmacist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
DR. BRIAN SKILES PHARM.D.
Pharmacist
9525 CROSSHILL BLVD, T-2233
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
DR. REBECCA TURVILLE WARNER PHARM.D.
Pharmacist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
DR. FEDA ABU-MALLOUH PHARMD
Pharmacist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
DR. KIRK ADAM WHITTINGTON PHARMD
Pharmacist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 248-4367
DR. AMANDA LEIGH BROWN O.D.
Optometrist
9525 CROSSHILL BLVD
JACKSONVILLE, FL 32222
Duval County (904) 573-9482

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 1609926948. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as CVS Pharmacy #17309.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 9525 Crosshill Blvd, Jacksonville, FL 32222. The listed phone number is (904) 248-4367.

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 #17309 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.