BAYCARE URGENT CARE, LLC
NPI 1043752173
Pharmacy - Community/Retail Pharmacy in Tampa, FL

Active since November 07, 2016CLIA 10D2130861 · Waiver
17512 DONA MICHELLE DR, SUITE 5, TAMPA, FL 33647(813) 533-3494(813) 605-5061 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2019, Nov 7, 2016 (2 updates tracked since 2016).

About Baycare Urgent Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYCARE URGENT CARE, LLC (NPI 1043752173) is a healthcare organization registered as a community/retail pharmacy in Tampa, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Lynda A Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1043752173
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBAYCARE URGENT CARE, LLC
Location Address17512 DONA MICHELLE DR, SUITE 5Tampa, FL 33647-3265
Mailing Address2995 Drew Street, East Bldg 2nd FloorCleawater, FL 33759 · (727) 281-9390 · Fax (813) 635-2613
Fax(813) 605-5061
Organization SubpartYes
Authorized OfficialLynda A GorkenVp, Pfs · (727) 281-9390
Enumeration DateNovember 7, 2016
Last NPPES UpdateJanuary 7, 20192 updates tracked since enumeration
NPI 1043752173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in ZZ · ME58834
Definition
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.
17512 DONA MICHELLE DR, Tampa, FL 33647

Other Identifiers 1

Medicaid274807000FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2130861

Baycare Urgent Care, LLC · Tampa, FL
Active · expires May 17, 2027
CLIA Number10D2130861
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorNathan K. Waldrep
Laboratory Phone(813) 533-3494
Laboratory LocationBaycare Urgent Care, LLC17512 Dona Michelle Dr - Ste 5, Tampa, FL 33647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
17512 DONA MICHELLE DR
TAMPA, FL 33647
Family Medicine
17512 DONA MICHELLE DR
TAMPA, FL 33647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baycare Urgent Care, LLC's NPI number?

The NPI number for Baycare Urgent Care, LLC is 1043752173. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Baycare Urgent Care, LLC located?

Baycare Urgent Care, LLC is located at 17512 Dona Michelle Dr Suite 5, Tampa, FL 33647. The listed phone number is (813) 533-3494.

What is Baycare Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Baycare Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2130861) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baycare Urgent Care, LLC was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.