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CVS PHARMACY# 10464
NPI 1801242722
Pharmacy in Doral, FL

Active since May 10, 2016CLIA 10D2227382 · Waiver
3750 NW 87TH AVE STE B, DORAL, FL 33178(786) 331-8203 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2017, Nov 15, 2016, Oct 25, 2016 and 2 more (5 updates tracked since 2016).

About Cvs Pharmacy# 10464 NPPES

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

CVS PHARMACY# 10464 (NPI 1801242722) is a healthcare organization registered as a pharmacy in Doral, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Susan Colbert, Sr Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1801242722
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOLIDAY CVS LLC
Location Address3750 NW 87TH AVE STE BDoral, FL 33178-2421
Mailing Address1 Cvs Dr, Box 1090 Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(786) 331-8203
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director Payer Relations · (401) 770-2751
Enumeration DateMay 10, 2016
Last NPPES UpdateJanuary 26, 20175 updates tracked since enumeration
✔ NPI 1801242722 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
3750 NW 87TH AVE STE B, Doral, FL 33178
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Other Names 1

Doing Business AsCvs Pharmacy# 10464

Other Identifiers 5

Medicare PINBC034BFL
Medicaid018589800 RXFL
Other5731270FL · Ncpdp
Medicare NSC5140820888FL
Medicaid018589801 DMEFL

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 10D2227382

Holiday CVS, LLC Dba Cvs/Pharmacy #10464 · Doral, FL
Active · expires Jun 10, 2027
CLIA Number10D2227382
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorLaura Gonzalez
Laboratory Phone(786) 331-8203
Laboratory LocationHoliday CVS, LLC Dba Cvs/Pharmacy #104643750 NW 87th Avenue, Suite B, Doral, FL 33178
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 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.
29 services29 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.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #10464 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10464

DMEPOS supplier · Doral, FLOperated by Holiday CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #10464 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)20435597
Medicare Participant SinceJanuary 1, 2019
Supplier Location3750 NW 87th Ave Ste BDoral, FL 33178
Phone(786) 331-8203
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.

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 1801242722. It was assigned to this organization in the NPPES registry on May 10, 2016. The provider is doing business as CVS Pharmacy# 10464.

Where is Holiday CVS LLC located?

Holiday CVS LLC is located at 3750 NW 87th Ave Ste B, Doral, FL 33178. The listed phone number is (786) 331-8203.

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 #10464 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 10D2227382) is associated with this NPI, valid through June 10, 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 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 January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.