SAMSON MERGER SUB, LLC (NPI# 1982020053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982020053 |
| Entity Type | Organization |
| Organization Name | SAMSON MERGER SUB, LLC |
| Other Organization Name | WINN DIXIE PHARMACY #2491 |
| Practice Address |
1737 E Oak St Arcadia FL 34266-8925 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 9047835578 |
| Enumeration Date | 2014-03-12 |
| 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 | PH28109 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 011711401 | 05 | |
| FL | 011711400 | 05 |
| Other Name | Type Code |
|---|---|
| Winn Dixie Pharmacy #2491 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013339431 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 27301 Wesley Chapel Blvd, Wesley Chapel, FL 33544-4287 | 2014-01-21 |
| Street Address |
1737 E OAK ST |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776394 | Ryan Thomas | Pharmacist | 1737 E Oak St, Arcadia, FL 34266-8925 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| 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 |
|---|---|---|---|---|
| 1750726303 | Vons Pharmacy #6770 | Pharmacy | 618 Michillinda Avenue, 3rd Floor, Arcadia, CA 91007 | 2013-05-08 |
| 1619988292 | Lucky Health Inc | Pharmacy | 1108 S Baldwin Ave, Store Number 8 & 9, Arcadia, CA 91007-7508 | 2006-08-10 |
| 1326053901 | Chris Cole Pharmacy Inc | Pharmacy | 1887 First Street, Arcadia, LA 71001 | 2006-07-30 |
| 1477598472 | Garfield Beach Cvs LLC | Pharmacy | 1401 S Baldwin Ave, Arcadia, CA 91007-7922 | 2006-06-17 |
| 1871534784 | Garfield Beach Cvs LLC | Pharmacy | 188 Las Tunas Dr, Arcadia, CA 91007-8512 | 2006-06-10 |
| 1962065706 | Medcare Pharmacy and Medical Supply, Inc. | Pharmacy | 289 W Huntington Dr Ste 101, Arcadia, CA 91007-3492 | 2019-04-17 |
| 1700391752 | Life of Hope | Pharmacy | 301 W Huntington Dr Ste 116, Arcadia, CA 91007-3462 | 2017-12-12 |
| 1922418813 | Unicare Pharmacy & Supply Inc | Pharmacy | 289 W Huntington Dr Ste 101, Arcadia, CA 91007-3492 | 2014-05-01 |
| 1699944322 | Arcadia Medical Pharmacy Inc | Pharmacy | 612 W Duarte Rd, Ste 102, Arcadia, CA 91007-7602 | 2008-02-27 |
| 1578749941 | Colonial Pharmacy Inc | Pharmacy | 1326 S Baldwin Ave, Arcadia, CA 91007-7512 | 2008-01-16 |
| Find all providers in ARCADIA | ||||
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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.