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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000807045A | 05 |
Other Name | Type Code |
---|---|
Harvey's Supermarket Pharmacy #1620 | 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 |
1404 E JACKSON ST |
City | THOMASVILLE |
State | GA |
Zip Code | 31792-3937 |
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 |
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 |
Find all providers in zip 31792 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | THOMASVILLE |
Zip Code | 31792 |
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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.