SAMSON MERGER SUB, LLC (NPI# 1609290436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609290436 |
| Entity Type | Organization |
| Organization Name | SAMSON MERGER SUB, LLC |
| Other Organization Name | HARVEY'S SUPERMARKET PHARMACY #1656 |
| Practice Address |
830 W Oak St Mc Rae GA 31055-1531 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 9047835578 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |
| Authorized Official Name | M. SANDLIN GRIMM (SECRETARY) |
| Authorized Official Telephone | 9047835000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Harvey's Supermarket Pharmacy #1656 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982020053 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 1737 E Oak St, Arcadia, FL 34266-8925 | 2014-03-12 |
| 1528482353 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Cmns, Brunswick, GA 31523-6601 | 2014-02-14 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1447672860 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 8837 N 56th St, Temple Terrace, FL 33617-6203 | 2014-01-21 |
| 1245652668 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2770 E Fowler Ave, Tampa, FL 33612-6277 | 2014-01-21 |
| 1760804173 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 13508 N Florida Ave, Tampa, FL 33613-3213 | 2014-01-21 |
| 1467874875 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 7131 N Us Highway 441, Ocala, FL 34475-1215 | 2014-01-21 |
| 1750703161 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 6400 Massachusetts Ave, New Port Richey, FL 34653-2532 | 2014-01-21 |
| 1063834489 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 11310 Se Us Highway 301, Belleview, FL 34420-4475 | 2014-01-21 |
| 1013339431 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 27301 Wesley Chapel Blvd, Wesley Chapel, FL 33544-4287 | 2014-01-21 |
| Street Address |
830 W OAK ST |
| City | MC RAE |
| State | GA |
| Zip Code | 31055-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831559152 | Little Creek Drug, LLC | Pharmacy | 112 W Oak St., Mc Rae, GA 31055 | 2016-02-29 |
| 1487022646 | Family Practice Healthcare Clinic/urgent Care Clinic, LLC | Clinic/Center | 10 North 3rd Avenue, Mcrae, GA 31055 | 2015-09-04 |
| 1912163973 | Lower Oconee Community Hospital | Clinic/Center | 280 E Willow Lane, Mcrae, GA 31055 | 2008-07-30 |
| 1912030008 | Community Service Board of Middle Georgia | Community/Behavioral Health | 410 Lakeside Drive, Mcrae, GA 31055 | 2007-03-14 |
| 1306984190 | Mcrae Emergency Physcians LLC | Emergency Medicine | Us 341 South, Emergency Department, Mcrae, GA 31055 | 2007-02-02 |
| 1245381193 | Kristi Renee Crabb | Physical Therapy Assistant | 113 East Oak Street, Mcrae, GA 31055 | 2007-01-16 |
| 1922178862 | Telfair County Board of Education | Local Education Agency (LEA) | 210 B East Parsonage St, Mcrae, GA 31055 | 2006-11-08 |
| 1528080397 | Telfair County Ems | Ambulance | 901 East Willow Creek Lane, Mcrae, GA 31055 | 2006-07-24 |
| 1467480400 | Mcrae Emergency Services, LLC | Emergency Medicine | Hwy 341 South, Mcrae, GA 31055 | 2006-06-29 |
| 1669438560 | Smith's Pharmacy of Mcrae, L.L.C. | Pharmacy | 112 W Oak Street, Mc Rae, GA 31055 | 2006-04-21 |
| Find all providers in zip 31055 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831559152 | Little Creek Drug, LLC | Pharmacy | 112 W Oak St., Mc Rae, GA 31055 | 2016-02-29 |
| 1669438560 | Smith's Pharmacy of Mcrae, L.L.C. | Pharmacy | 112 W Oak Street, Mc Rae, GA 31055 | 2006-04-21 |
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| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
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| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.