National Provider Identifier Database

OPTUMCARE FLORIDA LLC
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 health care providers, collaborative practice, disease state management, and education classes.


Contact Information

OPTUMCARE FLORIDA, LLC
4757 US HIGHWAY 19
NEW PORT RICHEY, FL34652-4945
Phone: 727-849-9373
Fax: 727-841-0497
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

NPI Profile & details for OPTUMCARE FLORIDA, LLC

NPI Number 1063572295
Legal business name
LBN
OPTUMCARE FLORIDA, LLC
Authorized official JOHN LIETHEN - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 12/11/2006
Last updated 08/19/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH18603
  • FL Medicaid: 030843900
  • FL Medicaid: 4399230001
  • Other: 2014572 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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