DAVITA MEDICAL GROUP
NPI 1790845923
Pharmacy - Community/Retail Pharmacy in Clearwater, FL
About Davita Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVITA MEDICAL GROUP (NPI 1790845923) is a healthcare organization registered as a community/retail pharmacy in Clearwater, 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
Specialties & Licenses 2
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.
Other Names 1
Other Identifiers 2
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 10D1011509
Optumcare Florida LLC · Clearwater, FLCertificate of Waiver 10D0856936
Optumcare Florida LLC · Clearwater, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1790845923. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Davita Medical Group.
Where is Optumcare Florida, LLC located?
Optumcare Florida, LLC is located at 2465 N Mcmullen Booth Rd, Clearwater, FL 33759. The listed phone number is (727) 724-0303.
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 with the weekly NPPES data releases published by CMS.
