Active NPI
Lee Memorial Health System
- Community/Retail Pharmacy
- Estero, FL
National Provider Identifier
1124513593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LEE MEMORIAL HEALTH SYSTEM
- Practice address
- 23450 Via Coconut Point
Estero, FL 34135 - Phone
- (239) 343-2821
- NPI assigned
- Jun 27, 2018
- Organization subpart
- Yes
- Parent organization
- LEE MEMORIAL HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Spence
- Title
- Chief Financial Officer
- Phone
- (239) 343-6014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
23450 Via Coconut Point
Estero, FL 34135
Mailing address
8350 Hospital Dr Ste 120
Estero, FL 34135-8111
Phone (239) 468-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | NONE ISSUED YET |
Other names 1
- Lee Health Specialty Pharmacy
National Provider Directory
National Provider Directory- Part of
- Emergency Phys of Lee M
Locations
8350 Hospital Dr
Estero, FL 34135
16451 Healthpark Commons Dr
Ste 200
Fort Myers, FL 33908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1124513593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8350 HOSPITAL DR STE 120",
"city": "ESTERO",
"state": "FL",
"postal_code": "341358111",
"telephone_number": "239-468-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23450 VIA COCONUT POINT",
"city": "ESTERO",
"state": "FL",
"postal_code": "34135",
"telephone_number": "239-343-2821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE MEMORIAL HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEE MEMORIAL HEALTH SYSTEM",
"enumeration_date": "2018-06-27",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "239-343-6014"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE ISSUED YET",
"identifier": "00000000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lee Health Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.