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Simed Health LLC

Organization Active NPI Community/Retail Pharmacy · Gainesville, FL

NPI 1376616698 · NPPES record last updated Sep 13, 2018

Key facts

NPI
1376616698
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PH21312 (FL)
Legal business name
SIMED HEALTH LLC
Practice address
4343 W Newberry Rd
Suite 9
Gainesville, FL 32607-2817
Phone
(352) 224-2450
Fax
(352) 224-2451
NPI assigned
Nov 16, 2006
Organization subpart
Yes
Parent organization (as reported)
SIMED HEALTH LLC

Authorized official

Name
Daniel Martin Duncanson, M.D NPI 1477535524
Title
Ceo
Phone
(352) 224-2200

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

Practitioners 163

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

View all 163

National Provider Directory

Part of
Simedhealth LLC

Locations

4343 Newberry Rd
Ste 9
Gainesville, FL 32607
Phone (352) 224-2450

4343 Newberry Rd
Ste 10
Gainesville, FL 32607
Phone (352) 224-2481

4741 NW 8th Ave
Gainesville, FL 32605
Phone (352) 224-1813

426 SW Commerce Dr
Ste 105
Lake City, FL 32025
Phone (386) 247-1295

3305 SW 34th Cir
Ste 103
Ocala, FL 34474

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21312 FL Yes

Addresses

Primary practice location

4343 W Newberry Rd
Suite 9
Gainesville, FL 32607-2817

Mailing address

4343 W Newberry Rd
Suite 9
Gainesville, FL 32607-2817
Phone (352) 224-2450

Other identifiers

IdentifierTypeStateIssuer
030860900MedicaidFL

Other names

  • SIMEDHEALTH Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2018.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1376616698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "address_2": "SUITE 9",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-224-2450",
            "fax_number": "352-224-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "address_2": "SUITE 9",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-224-2450",
            "fax_number": "352-224-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMED HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMED HEALTH LLC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-224-2200",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030860900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMEDHEALTH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

All providers in Gainesville, FL · Community/Retail Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.