Active NPI
David Simons, PHARMD
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1235860982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64038
- Practice address
- 11300 Lindbergh Blvd Ste 107
Fort Myers, FL 33913-8827 - Phone
- (866) 249-2696
- Fax
- (866) 330-7487
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64038 | FL | Primary |
Addresses
Primary practice location
11300 Lindbergh Blvd Ste 107
Fort Myers, FL 33913-8827
Mailing address
11300 Lindbergh Blvd Ste 107
Fort Myers, FL 33913-8827
Phone (913) 961-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64038 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus RX LLC | Current | Accepting new patients | |
| Lifestyles Chiropractic | Past | Accepting new patients |
Locations
11300 Lindbergh Blvd
Ste 107
Fort Myers, FL 33913
Phone (239) 334-9355
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Fort Myers, FL
- NPI 1770090482
-
- Sports Physician Chiropractor
- Fort Myers, FL
- NPI 1598820821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1235860982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 LINDBERGH BLVD STE 107",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138827",
"telephone_number": "913-961-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 LINDBERGH BLVD STE 107",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339138827",
"telephone_number": "866-249-2696",
"fax_number": "866-330-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "DAVID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "64038",
"primary": true
}
],
"identifiers": [],
"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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.