SAMSON MERGER SUB, LLC


Address: 1404 E Jackson St, Thomasville, GA 31792-3937
Phone: 9047835578

SAMSON MERGER SUB, LLC (NPI# 1659795722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659795722
Entity Type Organization
Organization Name SAMSON MERGER SUB, LLC
Other Organization Name HARVEY'S SUPERMARKET PHARMACY #1620
Practice Address 1404 E Jackson St
Thomasville
GA 31792-3937
Mailing Address Po Box 2209
Jacksonville
FL 32203-2209
Practice Telephone 9047835578
Enumeration Date 2014-02-10
Last Update Date 2015-08-10
Authorized Official Name M. SANDLIN GRIMM (SECRETARY)
Authorized Official Telephone 9047835000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000807045A 05

Other Provider/Organization Names

Other Name Type Code
Harvey's Supermarket Pharmacy #1620 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1404 E JACKSON ST
City THOMASVILLE
State GA
Zip Code 31792-3937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295843662 J H Harvey Co LLC Durable Medical Equipment & Medical Supplies 1404 E Jackson St, Thomasville, GA 31792-3937 2006-08-27
1447716238 Kaylee Beaty Pharmacist 1404 E Jackson St, Thomasville, GA 31792-3937 2019-02-16
1629461173 Janet Satterfield Pharmacist 1404 E Jackson St, Thomasville, GA 31792-3937 2015-03-09
1730524182 Susan Kay Starling Pharmacist 1404 E Jackson St, Thomasville, GA 31792-3937 2013-04-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1932613551 Diana Diaz Physician Assistant 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 2017-11-17
1194249425 Bobbie Frazier Contractor 400 Cloverdale Dr, Thomasville, GA 31792 2017-07-28
1598132292 Southern Scripts, LLC Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1508248915 Elizabeth Nicole Keen Behavioral Analyst 121 Covington Ave Apt 9, Thomasville, GA 31792 2015-06-22
1417341579 Sheila L Stanley Counselor 301 Summercreek Cove, Thomasville, GA 31792 2015-03-26
1457749301 Ashley Lamb Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1831403880 Somnoquest Durable Medical Equipment & Medical Supplies 556 Hall Road, Thomasville, GA 31792 2010-08-02
1508000183 Kashyap B Choksi Internal Medicine 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 2009-04-27
1205008786 Mark J Glaccum Chiropractor 415 Gordon Avenue, Thomasville, GA 31792 2008-03-25
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659971539 Bob and Jeff's Hometown Pharmacy of Thomasville, LLC Pharmacy 309 Smith Ave, Thomasville, GA 31792-5534 2020-10-29
1598132292 Southern Scripts, LLC Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1952467862 Thomasville Pharmacy Services Inc Pharmacy 519 W Jackson St, Thomasville, GA 31792-3105 2006-12-28
1295838738 North Carolina Cvs Pharmacy LLC Pharmacy 1131 Randolph St, Thomasville, NC 27360-5749 2006-09-07
1588767230 Georgia Cvs Pharmacy LLC Pharmacy 14857 Us Highway 19 S, Thomasville, GA 31792-4870 2006-09-07
1588199004 Archbold Health Services, Inc. Pharmacy 915 Gordon Ave, Thomasville, GA 31792-6614 2017-04-21
1972729770 Trumarx Drugs Inc Pharmacy 501 Gordon Ave, Thomasville, GA 31792-6645 2007-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922441 Southern Pharmacy Group LLC Pharmacy 110 Allison St., Jesup, GA 31545 2020-11-04
1184225526 Svdp Georgia Community Pharmacy LLC Pharmacy 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 2020-11-03
1194325860 Panola Pharmacy LLC Pharmacy 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 2020-10-30
1679171979 Dfg LLC Pharmacy 638 Historic Hwy 441 Suite A, Demorest, GA 30530 2020-10-09
1033716915 Au Medical Center, Inc. Pharmacy 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 2020-10-05
1043817208 Mlk Pharmacy2.0 Pharmacy 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 2020-10-01
1508470964 Swain Drug Company LLC Pharmacy 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 2020-09-03
1205446341 Sunny Pharmacy Pharmacy 5364 Jonesboro Rd, Lake City, GA 30260-3557 2020-08-04
1841818044 Hospital Authority of Miller County Pharmacy 213 Delores Street, Colquitt, GA 39837 2020-07-14
1699393173 Redan Community Pharmacy LLC Pharmacy 4108 Redan Rd Ste A, Stone Mountain, GA 30083-5070 2020-07-10
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Competitor

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City THOMASVILLE
Zip Code 31792

Improve Information

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Dataset Information

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.

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