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JSA HEALTHCARE CORPORATION
NPI 1063572295
Pharmacy - Community/Retail Pharmacy in New Port Richey, FL

Active since December 11, 2006CLIA Certified · 2 labs
4757 US HIGHWAY 19, NEW PORT RICHEY, FL 34652(727) 849-9373(727) 841-0497 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2019, Mar 15, 2017, Sep 29, 2016 (3 updates tracked since 2016).

About Jsa Healthcare Corporation NPPES

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

JSA HEALTHCARE CORPORATION (NPI 1063572295) is a healthcare organization registered as a community/retail pharmacy in New Port Richey, Florida and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists John G. Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1063572295
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOPTUMCARE FLORIDA, LLC
Location Address4757 US HIGHWAY 19New Port Richey, FL 34652-4945
Mailing Address10051 5th Street NorthSt. Petersburg, FL 33702-2299 · (727) 849-9373 · Fax (727) 841-0497
Phone(727) 849-9373
Fax(727) 841-0497
Organization SubpartNo
Authorized OfficialJohn G. LiethenSecretary · (952) 205-6262
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 19, 20193 updates tracked since enumeration
✔ NPI 1063572295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH18603
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.
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
4757 US HIGHWAY 19, New Port Richey, FL 34652
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Other Names 1

Doing Business AsJsa Healthcare Corporation

Other Identifiers 3

Other2014572Pk
Medicaid4399230001FL
Medicaid030843900FL

CLIA Laboratory Certificates CMS CLIA 2

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 10D0873057

Optumcare Florida LLC · New Port Richey, FL
Active · expires Jul 7, 2027
CLIA Number10D0873057
Laboratory TypeHealth Main. Organization
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorShamimara Borachi
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC4759 Us Hwy 19, New Port Richey, FL 34652
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0867985

Optumcare Florida LLC · New Port Richey, FL
Active · expires Aug 31, 2026
CLIA Number10D0867985
Laboratory TypeHealth Main. Organization
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSharon Lisa Acevedo
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC8501 Little Road, New Port Richey, FL 34654
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Optumcare Florida, LLC's NPI number?

The NPI number for Optumcare Florida, LLC is 1063572295. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Jsa Healthcare Corporation.

Where is Optumcare Florida, LLC located?

Optumcare Florida, LLC is located at 4757 Us Highway 19, New Port Richey, FL 34652. The listed phone number is (727) 849-9373.

What is Optumcare Florida, LLC's specialty?

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

Does Optumcare Florida, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Optumcare Florida, LLC was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.