SAMSON MERGER SUB, LLC (NPI# 1588086094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588086094 |
| Entity Type | Organization |
| Organization Name | SAMSON MERGER SUB, LLC |
| Other Organization Name | WINN DIXIE PHARMACY #2519 |
| Practice Address |
5802 14th St W Bradenton FL 34207-4005 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 9047835578 |
| Enumeration Date | 2014-01-17 |
| 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 | PH27930 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010928500 | 05 | |
| FL | 010928501 | 05 |
| Other Name | Type Code |
|---|---|
| Winn Dixie Pharmacy #2519 | 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 |
5802 14TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407248115 | Arlen Harter | Pharmacist | 5802 14th St W, Bradenton, FL 34207-4005 | 2015-03-04 |
| 1750708210 | David Dennis | Pharmacist | 5802 14th St W, Bradenton, FL 34207-4005 | 2014-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| 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 |
|---|---|---|---|---|
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1831657782 | Pnh LLC | Pharmacy | 4418 E State Road 64, Bradenton, FL 34208-9061 | 2019-03-11 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1841537826 | Fort Myers Beach Pharmacy | Pharmacy | 1003 8th Ave W, Bradenton, FL 34205-7709 | 2013-01-10 |
| 1285945386 | Swastik Rx LLC | Pharmacy | 2110 Manatee Ave E, Bradenton, FL 34208-1660 | 2010-06-23 |
| 1861718892 | Sonee Pharmacy Services Inc | Pharmacy | 6229 14th St W, Bradenton, FL 34207-4611 | 2010-04-15 |
| 1134359805 | David M Williams Enterprises, LLC | Pharmacy | 1824 59th St W, Bradenton, FL 34209-4630 | 2009-07-16 |
| Find all providers in BRADENTON | ||||
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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.