Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holiday Cvs LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1366741258

Holiday Cvs LLC is a Durable Medical Equipment & Medical Supplies in Port Orange, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1816 Dunlawton Ave
Port Orange, FL 32127-2921
Phone: (386) 322-3919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1366741258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director Payer Relations · (401) 770-2751
Other names Cvs Pharmacy # 04112
NPI enumeratedMarch 18, 2011
Last updated in NPPESOctober 6, 2011
Mailing address1 Cvs Dr, Box 1075 - Pharmacy Enrollments, Woonsocket, RI 02895-6146

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