NPIMap

Organization Active NPI

Baycare Urgent Care, LLC

  • Community/Retail Pharmacy
  • Clearwater, FL
National Provider Identifier
1619346459
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BAYCARE URGENT CARE, LLC
Practice address
711 S Belcher Rd
Clearwater, FL 33764-6326
Phone
(727) 314-4848
Fax
(737) 333-6053
NPI assigned
Sep 23, 2015
Organization subpart
Yes
Parent organization
BAYCARE URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 Primary

Addresses

Primary practice location

711 S Belcher Rd
Clearwater, FL 33764-6326

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390

Other identifiers 1

IdentifierTypeStateIssuer
274807000MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1619346459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "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": "711 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646326",
            "telephone_number": "727-314-4848",
            "fax_number": "737-333-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYCARE URGENT CARE, LLC",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274807000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.