LEE MEMORIAL HEALTH SYSTEM (NPI# 1730718735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730718735 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Practice Address |
13681 Doctors Way Fort Myers FL 33912-4300 |
| Mailing Address |
1815 Coral Cir North Fort Myers FL 33903-5000 |
| Practice Telephone | 2393431000 |
| Mailing Telephone | 2396916329 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | BENJAMIN SPENCE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2393436014 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Gulf Coast Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1114409141 | Lee Memorial Health System | Skilled Nursing Facility | 13960 Plantation Rd, Fort Myers, FL 33912-4303 | 2018-09-06 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1801196266 | Lee Memorial Health System | Pharmacy | 11220 Metro Pkwy Ste 31, Fort Myers, FL 33966-1291 | 2010-11-01 |
| 1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
| 1104455187 | Lee Memorial Health System | Pharmacy | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION | 16451 Healthpark Commons Dr # 2, Fort Myers, FL 33908-9501 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION, INC. | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| Street Address |
13681 DOCTORS WAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286686 | Gary Sauer | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-05-12 |
| 1730715400 | Harjot Kaur Gill | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-03-13 |
| 1942842026 | Gina Tracy Mitas | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-10-10 |
| 1033768304 | Sarminder Kaur | Nurse Practitioner | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-09-09 |
| 1417442393 | Elyza Guzman | Nurse Anesthetist, Certified Registered | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2018-06-24 |
| 1104335660 | Mark Thetford | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2017-09-27 |
| 1881149649 | Ryan Hire | Pharmacist | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-08-22 |
| 1508214164 | Davit Onikashvili | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-05-24 |
| 1285081315 | Mohammad Awad | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912 | 2016-05-18 |
| 1871955955 | Shobana Iyer | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1265065783 | Prevent Rx 2, LLC | Pharmacy | 3677 Central Ave Ste A, Fort Myers, FL 33901-8226 | 2020-02-13 |
| 1083256317 | Promell Pharmacy | Pharmacy | 8291 Dani Dr Ste 103, Fort Myers, FL 33966-8009 | 2019-10-08 |
| 1649710534 | Gulf Coast Pharmacy Inc | Pharmacy | 6631 Orion Dr, Suite 112, Fort Myers, FL 33912-4333 | 2017-02-27 |
| 1548623028 | Univv I Inc | Pharmacy | 4857 Palm Beach Blvd Ste 1, Fort Myers, FL 33905-3206 | 2016-04-01 |
| 1528423670 | Genesiscare Usa of Florida LLC | Pharmacy | 2234 Colonial Blvd Ste 110, Fort Myers, FL 33907 | 2015-12-16 |
| 1558610527 | Revive Pharmacy Inc | Pharmacy | 16205 S Tamiami Trl, Suite # 6, Fort Myers, FL 33908-5304 | 2012-09-05 |
| 1194024406 | Sunset Pharmacy LLC | Pharmacy | 4224 Cleveland Ave Ste 5, Fort Myers, FL 33901-9051 | 2011-03-25 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1730493636 | Option Care Enterprises, Inc. | Pharmacy | 14580 Global Pkwy, Suite 108, Fort Myers, FL 33913-8887 | 2010-08-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on LEE MEMORIAL HEALTH SYSTEM.
| 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.