SAMSON MERGER SUB, LLC (NPI# 1609298371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609298371 |
| Entity Type | Organization |
| Organization Name | SAMSON MERGER SUB, LLC |
| Other Organization Name | WINN DIXIE PHARMACY #2480 |
| Practice Address |
5690 Bayshore Rd Fort Myers FL 33917-3042 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 9047835578 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-12-24 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PH27978 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010926900 | 05 | |
| FL | 010926901 | 05 |
| Other Name | Type Code |
|---|---|
| Winn Dixie Pharmacy #2480 | 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 |
| 1609290436 | Samson Merger Sub, LLC | Pharmacy | 830 W Oak St, Mc Rae, GA 31055-1531 | 2014-02-14 |
| 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 |
| Street Address |
5690 BAYSHORE RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33917-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423070 | Lisa Marie Ortiz-rivera | Registered Nurse | 15150 Piping Plover Ct 103, North Fort Myers, FL 33917 | 2019-05-21 |
| 1407124571 | Lorne Kevin Howell | Custodial Care Facility | 6410 Pga Drive, North Fort Myers, FL 33917 | 2011-12-05 |
| 1124267026 | Mary Christine Gatens | Social Worker | 2108 Lakeville, Fort Myers, FL 33917 | 2009-02-17 |
| 1417143496 | Pine Island Chiropractic Inc | Chiropractor | 5781 Bayshore Road, #103, North Fort Myers, FL 33917 | 2007-09-24 |
| 1427030253 | Florida Preferred Care Developmental Centers I, Inc. | Intermediate Care Facility, Mentally Retarded | 2975 Garden St, N Ft Myers, FL 33917-1883 | 2005-11-17 |
| 1043323934 | Florida Preferred Care Developmental Centers I, Inc | Intermediate Care Facility, Mentally Retarded | 2975 Garden St, North Fort Myers, FL 33917-1883 | 2006-08-16 |
| 1174138176 | Claudia Rodriguez | Massage Therapist | 7728 Mcdaniel Dr, North Fort Myers, FL 33917-1930 | 2020-09-15 |
| 1760092605 | Michael Patrick Durham | Nurse Practitioner | 17501 Wells Rd, North Fort Myers, FL 33917-2108 | 2020-08-05 |
| 1043596521 | Kim Theresa Traugott | Veterinarian | 17740 Sabal Palm Dr, North Fort Myers, FL 33917-2219 | 2011-10-27 |
| 1336687573 | Luke Balkun | Behavior Technician | 2262 Westwood Rd, N Fort Myers, FL 33917-2536 | 2017-02-08 |
| Find all providers in zip 33917 | ||||
| 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 |
|---|---|---|---|---|
| 1487276663 | Total Healthcare Alliance | Pharmacy | 3510 Dr Martin Luther King Blvd Ste 1, Fort Myers, FL 33916-4608 | 2020-05-11 |
| 1245797554 | Gateway Drugs Pllc | Pharmacy | 12401 Commerce Lakes Dr Ste 3, Fort Myers, FL 33913-8663 | 2019-02-22 |
| 1649775693 | Aon Pharmacy, LLC | Pharmacy | 14543 Global Pkwy Ste 110, Fort Myers, FL 33913-9446 | 2018-03-29 |
| 1972973055 | Family Pharmacy & Medical Supply | Pharmacy | 9861 Bernwood Place Dr Ste 145, Fort Myers, FL 33966-6545 | 2015-10-01 |
| 1730493529 | Knap Inc. | Pharmacy | 3432 Cleveland Ave, Fort Myers, FL 33901-7108 | 2010-08-04 |
| 1801057153 | Holiday Cvs LLC | Pharmacy | 9350 Dynasty Dr, Fort Myers, FL 33905-5574 | 2008-06-19 |
| 1184885436 | Holiday Cvs LLC | Pharmacy | 15880 San Carlos Blvd, Ste 101, Fort Myers, FL 33908-3383 | 2008-06-19 |
| 1124149604 | Costco Wholesale Corp | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913 | 2007-04-03 |
| 1003976036 | Bjs Wholesale Club Inc | Pharmacy | 9300 Ben C Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33912 | 2006-12-11 |
| 1194820936 | Holiday Cvs LLC | Pharmacy | 11300 State Road 82, Fort Myers, FL 33905-5400 | 2006-09-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33917 |
Please comment or provide details below to improve the information on SAMSON MERGER SUB, LLC.
| 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.