DAVITA MEDICAL FLORIDA, INC. (NPI# 1508138769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508138769 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL FLORIDA, INC. |
| Other Organization Name | DAVITA MEDICAL GROUP, PHARMACY |
| Practice Address |
4757 Us Highway 19 Ste A New Port Richey FL 34652-4945 |
| Mailing Address |
10051 5th Street North St. Petersburg FL 33702-2299 |
| Practice Telephone | 7278499373 |
| Practice Fax Number | 7278151203 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7278282321 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2539730777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
18603 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133637 | 01 |
| Other Name | Type Code |
|---|---|
| DaVita Medical Group, Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
| 1073673208 | Davita Medical Florida, Inc. | Pharmacy | 11920 Seminole Blvd, Largo, FL 33778-2803 | 2006-12-11 |
| 1154481380 | Davita Medical Florida, Inc. | Pharmacy | 2727 W Dr Martin Luther King Jr Blvd Ste 100, Ste 100, Tampa, FL 33607-6353 | 2006-12-11 |
| 1508233537 | Davita Medical Florida, Inc. | Non-Pharmacy Dispensing Site | 2424 Manatee Ave W, Suite 100, Bradenton, FL 34205-4954 | 2015-08-25 |
| Street Address |
4757 US HIGHWAY 19 STE A |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558681460 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558681460 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 | 2010-06-03 |
| 1598279341 | Blake Pharmacy LLC. | Pharmacy | 5628 Trouble Creek Rd, New Port Richey, FL 34652-5158 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1710505458 | Orlando Health Inc | Pharmacy | 1111 Blackwood Ave, Ocoee, FL 34761-4549 | 2020-07-09 |
| 1508498569 | Cba Pharmacy Inc | Pharmacy | 13801 Bruce B Downs Blvd Ste 102&103, Tampa, FL 33613-3946 | 2020-02-07 |
| 1730723685 | Eckerds Rx 107 LLC | Pharmacy | 710 N Brevard Ave, Arcadia, FL 34266-8778 | 2019-11-04 |
| 1780244335 | Amaranth Life Sciences Pharmaceutical, Inc. | Pharmacy | 1731 Avenida Del Sol, Boca Raton, FL 33432-1742 | 2019-06-17 |
| 1730678996 | Rav Pharma LLC | Pharmacy | 450077 State Road 200 Ste 4, Callahan, FL 32011-3863 | 2018-05-03 |
| 1720538689 | Community Specialty Pharmacy, LLC | Pharmacy | 1617 34th St S Unit B, St Petersburg, FL 33711-2855 | 2016-10-04 |
| 1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
| 1770932048 | Recept Pharmacy Lp | Pharmacy | 4011 Crescent Park Dr, Riverview, FL 33578-3605 | 2016-06-08 |
| 1417317447 | Sage Rx Specialty Pharmacy | Pharmacy | 3693 W Waters Ave # 1210, Tampa, FL 33614-2783 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.