NPIMap

Organization Active NPI

Baycare Urgent Care, LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1043752173
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
ME58834 Issued in ZZ
Legal business name
BAYCARE URGENT CARE, LLC
Practice address
17512 Dona Michelle Dr
Suite 5
Tampa, FL 33647-3265
Phone
(813) 533-3494
Fax
(813) 605-5061
NPI assigned
Nov 7, 2016
Last updated
Jan 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYCARE URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynda A Gorken
Title
VP, PFS
Phone
(727) 281-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X ME58834 ZZ Primary

Addresses

Primary practice location

17512 Dona Michelle Dr
Suite 5
Tampa, FL 33647-3265

Mailing address

2995 Drew Street
East BLDG 2ND Floor
Cleawater, FL 33759
Phone (727) 281-9390

National Provider Directory

National Provider Directory
Tax ID family
Baycare Urgent Care LLC42 organizations share this tax ID, including this one
Part of
Baycare Urgent Care LLC

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

17512 Dona Michelle Dr
Ste 5
Tampa, FL 33647
Phone (813) 533-3494

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1043752173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW STREET",
            "address_2": "EAST BLDG 2ND FLOOR",
            "city": "CLEAWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-281-9390",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17512 DONA MICHELLE DR",
            "address_2": "SUITE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473265",
            "telephone_number": "813-533-3494",
            "fax_number": "813-605-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYCARE URGENT CARE, LLC",
        "enumeration_date": "2016-11-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, PFS",
        "authorized_official_telephone_number": "727-281-9390"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ZZ",
            "license": "ME58834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.