Lee Memorial Health System

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PH25005 Issued in FL

Legal business name

LEE MEMORIAL HEALTH SYSTEM

Practice address

11220 Metro Pkwy Ste 31
Fort Myers, FL 33966-1291

Phone

(239) 343-9799

Fax

(239) 275-6931

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Michael Koleff

Title

Director Home Infusion

Phone

(239) 343-9799

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lee Health Home Infusion Doing business as

Locations

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)…

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1801196266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY STE 31",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661291",
            "telephone_number": "239-343-9799",
            "fax_number": "239-275-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 METRO PKWY STE 31",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661291",
            "telephone_number": "239-343-9799",
            "fax_number": "239-275-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE MEMORIAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-03-13",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "KOLEFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR HOME INFUSION",
        "authorized_official_telephone_number": "239-343-9799"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "PH25005",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Health Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee Health Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System
• Lee Memorial Health System

• Home Infusion Therapy Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Home Infusion Therapy Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.