Organization Active NPI

BSN Health LLC

  • Community/Retail Pharmacy
  • Clermont, FL
National Provider Identifier
1144025974
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BSN HEALTH LLC
Practice address
17075 Cagan Ridge Blvd Ste 100B
Clermont, FL 34714-9619
Phone
(352) 708-4219
Fax
(352) 708-4583
NPI assigned
Feb 17, 2025
Organization subpart
Yes
Parent organization
BSN HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Samuel Labib, RPHNPI 1245006170
Title
President
Phone
(863) 866-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17075 Cagan Ridge Blvd Ste 100B
Clermont, FL 34714-9619

Mailing address

17075 Cagan Ridge Blvd Ste 100B
Clermont, FL 34714-9619
Phone (352) 708-4219

Other names 2

  • Family Care Clinic Pharmacy 2 Doing business as
  • BSN Health Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
BSN Health2 organizations share this tax ID, including this one
Part of
BSN Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17075 Cagan Ridge Blvd
Ste 100B
Clermont, FL 34714
Phone (352) 708-4219

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1144025974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "352-708-4219",
            "fax_number": "352-708-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "352-708-4219",
            "fax_number": "352-708-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSN HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BSN HEALTH LLC",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "LABIB",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-866-9660",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Clinic Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BSN Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.