Organization · Type 2 NPI

Optumcare Florida, LLC

Community/Retail Pharmacy · New Port Richey, FL

NPI number 1063572295 Active

Practice location

4757 US Highway 19
New Port Richey, FL 34652-4945

Call (727) 849-9373 Map

Fax (727) 841-0497

Mailing address

10051 5th Street North
St. Petersburg, FL 33702-2299

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PH18603 (FL)
Managed Care Organization Pharmacy	3336M0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1063572295
Entity type: Organization (Type 2)
Issued: Dec 11, 2006
Last updated: Aug 19, 2019
Status: Active

Other names

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Jsa Healthcare Corporation · doing business as
Jsa Healthcare Corporation · doing business as

Authorized official

John G. Liethen
Secretary
(952) 205-6262

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063572295

Optumcare Florida, LLC's National Provider Identifier is 1063572295, issued on Dec 11, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in New Port Richey, FL. The record was last updated on Aug 19, 2019.