Active NPI
Fort Myers Infusion, LLC
- Home Infusion Therapy Pharmacy
- Bonita Springs, FL
National Provider Identifier
1346015104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- FORT MYERS INFUSION, LLC
- Practice address
- 24840 S Tamiami TRL Ste 1&2
Bonita Springs, FL 34134-7009 - Phone
- (239) 314-0279
- Fax
- (239) 314-0279
- NPI assigned
- Nov 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kokila Ramani
- Title
- Owner
- Phone
- (239) 314-0279
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary |
Addresses
Primary practice location
24840 S Tamiami TRL Ste 1&2
Bonita Springs, FL 34134-7009
Mailing address
24840 S Tamiami TRL Ste 1&2
Bonita Springs, FL 34134-7009
Phone (239) 314-0279
Other names 1
- Vital Care of Fort Myers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240312002815 | FL | DME Supplier - Medical Supply Company With Registered Pharmacist | 7911343041 | Practice locations: Bonita Springs, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fort Myers Infusion, LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
24840 S Tamiami Trl
Ste 12
Bonita Springs, FL 34134
Phone (239) 314-0278
24840 S Tamiami Trl
Ste 1
Bonita Springs, FL 34134
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1346015104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24840 S TAMIAMI TRL STE 1&2",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347009",
"telephone_number": "239-314-0279",
"fax_number": "239-314-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24840 S TAMIAMI TRL STE 1&2",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347009",
"telephone_number": "239-314-0279",
"fax_number": "239-314-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT MYERS INFUSION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "RAMANI",
"authorized_official_first_name": "KOKILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-314-0279"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Fort Myers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.