HOLIDAY CVS LLC
HOLIDAY CVS LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124125612, based in Port Saint Lucie, FL. The organization lists 2 taxonomy classifications, with Pharmacy recorded as primary.
Getting there
The practice address on file is 1300 SW ST LUCIE BLVD, Port Saint Lucie, FL 34986. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 20592 | FL | Pharmacy primary |
This provider holds licence 20592 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Pharmacy
- PAC ID
- 2668534702
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 333600000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 333600000X | Pharmacy | 20592 | FL | primary |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124125612 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 19, 2006 |
| Last updated | Jan 17, 2023 |
| Status | Active |
| Practice address |
1300 SW ST LUCIE BLVD Port Saint Lucie, FL 34986 (772) 878-7078 Fax (772) 343-0608 |
| Mailing address |
1 CVS DR PO BOX 1075 Woonsocket, RI 02895 |
| Other identifiers |
1080439
· OTHER ID NUMBER-COMMERCIAL NUMBER 106175500 (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 1 | 2 | 5 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 2 | 2 | 1 | 6 | 2 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.