CVS PHARMACY 05069
NPI 1619071578
Pharmacy in Crawfordville, FL

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

The NPI number for Holiday CVS LLC is 1619071578. It was assigned to this organization in the NPPES registry on September 12, 2006.

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 November 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2006

2668 CRAWFORDVILLE HWY, CRAWFORDVILLE, FL 32327(850) 926-3541(850) 926-2364 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Cvs Pharmacy 05069 NPPES

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

CVS PHARMACY 05069 (NPI 1619071578) is a healthcare organization registered as a pharmacy in Crawfordville, Florida and active in the NPI registry since September 2006. The organization lists Susan F Colbert, Director Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1619071578

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameHOLIDAY CVS LLC

Location Address2668 CRAWFORDVILLE HWYCrawfordville, FL 32327-2160

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

Phone(850) 926-3541

Fax(850) 926-2364

Organization SubpartNo

Authorized OfficialSusan F ColbertDirector Phcy Enrollments · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateNovember 16, 2012

✔ NPI 1619071578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · 20694

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

2668 CRAWFORDVILLE HWY, Crawfordville, FL 32327

Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy 05069

Other Identifiers 5

Medicaid105698100FL

Medicare NSC5140820413

Medicare PINBC034CFL

Medicare PINP00949650

Other1073890Other 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 ›

Areas of Expertise CMS Part B claims 9

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.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

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.

1,235 services149 patients

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.

154 services154 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.

133 services133 patients

Adm sarscov2 50mcg/0.25mlbst 0064A

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

77 services77 patients

Fee covid-19 vac 14 res 0134A

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

61 services61 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.

37 services37 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 05069 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 05069

DMEPOS supplier · Crawfordville, FLOperated by Holiday CVS LLC

✔

Accepts Medicare assignment

CVS Pharmacy # 05069 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)20423945

Medicare Participant SinceJanuary 1, 2019

Supplier Location2668 Crawfordville HwyCrawfordville, FL 32327

Phone(850) 926-3541

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 6

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

MADISON C. THOMAS APRN

Nurse Practitioner (Family)