OrganizationActive
Optumcare Florida, LLC
NPI 1245390475 · Community/Retail Pharmacy · Tampa, FL
Optumcare Florida, LLC is a Community/Retail Pharmacy organization in Tampa, FL (NPI 1245390475).
Provider details
- NPI number
- 1245390475
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3665 W Waters Ave
Tampa, FL 33614-2783
Phone: (813) 935-6431
Fax: (813) 915-0741
Street-level locationGet directions
Mailing address
10051 5th St. N
St. Petersburg, FL 33702-2289
Other names (DBA / former)
- Doing business as
- Davita Medical Group, Pharmacy
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2019-08-20
Frequently asked questions
- What is Optumcare Florida, LLC's NPI number?
- Optumcare Florida, LLC's National Provider Identifier (NPI) is 1245390475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optumcare Florida, LLC?
- Optumcare Florida, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Optumcare Florida, LLC located?
- Optumcare Florida, LLC's practice location on file with NPPES is 3665 W Waters Ave, Tampa, FL 33614-2783.
- What is Optumcare Florida, LLC's phone number?
- The practice phone number listed in the NPPES registry for Optumcare Florida, LLC is (813) 935-6431.
- Who is the authorized official for Optumcare Florida, LLC?
- The authorized official listed on Optumcare Florida, LLC's NPPES record is John Liethen, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optumcare Florida, LLC's NPI active?
- Yes — Optumcare Florida, LLC's NPI (1245390475) is active in the NPPES registry as of the last update on 2019-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.