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CVS PHARMACY #00139
NPI 1710081799
Pharmacy in South Pasadena, FL

Active since September 12, 2006
6820 GULFPORT BLVD S, SOUTH PASADENA, FL 33707(727) 345-9103(727) 347-1844 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #00139 NPPES

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

CVS PHARMACY #00139 (NPI 1710081799) is a healthcare organization registered as a pharmacy in South Pasadena, Florida and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1710081799
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address6820 GULFPORT BLVD SSouth Pasadena, FL 33707-2108
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(727) 345-9103
Fax(727) 347-1844
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateOctober 23, 2015
✔ NPI 1710081799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · 20581
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
6820 GULFPORT BLVD S, South Pasadena, FL 33707
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Other Names 1

Doing Business AsCvs Pharmacy #00139

Other Identifiers 4

Medicare NSC5140820040
Medicaid105496100FL
Other1004249Other Id Number-commercial Number
Medicare PINBC034FL

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 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.
288 services286 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.
221 services221 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.
52 services52 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.
41 services41 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.
33 services33 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #00139 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #00139

DMEPOS supplier · South Pasadena, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #00139 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)20436479
Medicare Participant SinceJanuary 1, 2019
Supplier Location6820 Gulfport Blvd SSouth Pasadena, FL 33707
Phone(727) 345-9103
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 2

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

ANTO STANIC PHARMD.
Pharmacy (Community/Retail Pharmacy)
6820 GULFPORT BLVD S
SOUTH PASADENA, FL 33707
Pinellas County (727) 345-9103
ARTI SHAH
Pharmacist
6820 GULFPORT BLVD S
SOUTH PASADENA, FL 33707
Pinellas County (727) 345-9103

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 1710081799. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #00139.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 6820 Gulfport Blvd S, South Pasadena, FL 33707. The listed phone number is (727) 345-9103.

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 #00139 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 October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.