Active NPI
Senior Medical AIDS & Pharmacy LLC
- Durable Medical Equipment & Medical Supplies
- North Fort Myers, FL
National Provider Identifier
1457973521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SENIOR MEDICAL AIDS & PHARMACY LLC
- Practice address
- 1357 N Tamiami TRL
North Fort Myers, FL 33903-5336 - Phone
- (951) 392-6416
- NPI assigned
- May 12, 2020
- 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
- Steven Matthew Dimemmo
- Title
- Owner
- Phone
- (951) 392-6416
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1357 N Tamiami TRL
North Fort Myers, FL 33903-5336
Mailing address
344 E 7TH St
San Jacinto, CA 92583-4710
Phone (951) 392-6416
National Provider Directory
National Provider DirectoryLocations
1357 N Tamiami Trl
North Fort Myers, FL 33903
Phone (951) 392-6416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589241600000",
"number": "1457973521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 E 7TH ST",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834710",
"telephone_number": "951-392-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 N TAMIAMI TRL",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339035336",
"telephone_number": "951-392-6416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR MEDICAL AIDS & PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A",
"authorized_official_last_name": "DIMEMMO",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-392-6416"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.