Organization Active NPI

Access Infusion Partners, LLP

  • Pharmacy
  • Fort Myers, FL
National Provider Identifier
1063406247
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH15572 Issued in FL
Legal business name
ACCESS INFUSION PARTNERS, LLP
Practice address
11220 Metro Pkwy
Suite 31
Fort Myers, FL 33966-1291
Phone
(239) 275-2050
Fax
(239) 275-6931
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Koleff
Title
General Manager
Phone
(239) 275-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH15572 FL Primary

Addresses

Primary practice location

11220 Metro Pkwy
Suite 31
Fort Myers, FL 33966-1291

Mailing address

11220 Metro Pkwy
Suite 31
Fort Myers, FL 33966-1291
Phone (239) 275-2050

Other identifiers 2

IdentifierTypeStateIssuer
106329400MedicaidFL
106329401MedicaidFL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1063406247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY",
            "address_2": "SUITE 31",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661291",
            "telephone_number": "239-275-2050",
            "fax_number": "239-275-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY",
            "address_2": "SUITE 31",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661291",
            "telephone_number": "239-275-2050",
            "fax_number": "239-275-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS INFUSION PARTNERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "KOLEFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "239-275-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH15572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106329400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106329401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.