NPIMap

Organization Active NPI

Lee Memorial Health System

Doing business as Lee Health Home Infusion

  • Home Infusion Therapy Pharmacy
  • Fort Myers, FL
National Provider Identifier
1801196266
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PH25005 Issued in FL
Legal business name
LEE MEMORIAL HEALTH SYSTEM
Doing business as
Lee Health Home Infusion
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
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X PH25005 FL Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

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

Mailing address

11220 Metro Pkwy Ste 31
Fort Myers, FL 33966-1291
Phone (239) 343-9799

Other names 1

  • Lee Health Home Infusion Doing business as

National Provider Directory

National Provider Directory

Member organizations 47

Organizations listed as members of this organization in the National Provider Directory.

View all 47

Locations

11220 Metro Pkwy
Ste 31
Fort Myers, FL 33966
Phone (239) 275-2050

Networks

  • 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 Máximo (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)…
  • 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)

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

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 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.