OPTUMCARE FLORIDA LLC NPI 1063572295

NPI Information

  • NPI: 1063572295
  • Provider Name: OPTUMCARE FLORIDA, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: JSA HEALTHCARE CORPORATION
  • CLIA Number: 10D0873057
  • Address: 4757 US HIGHWAY 19
    NEW PORT RICHEY, FL
    ZIP 34652
  • Phone: (727) 849-9373

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NPI Details

OPTUMCARE FLORIDA, LLC is a community/retail pharmacy pharmacy in New Port Richey, FL. The provider is 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. OPTUMCARE FLORIDA, LLC NPI is 1063572295. The provider is registered as an organization entity type.
The provider Is Doing Business As Jsa Healthcare Corporation.

The provider's business location address is:

4757 US HIGHWAY 19
NEW PORT RICHEY, FL
ZIP 34652-945
Phone: (727) 849-9373
Fax: (727) 841-0497

The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.

The CLIA number assigned to this NPI record is 10D0873057 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336M0003XPharmacyManaged Care Organization PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH18603FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12014572OTHERPK
24399230001MEDICAIDFLORIDA
3030843900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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