Healthcare Provider Details

I. General information

NPI: 1548060213
Provider Name (Legal Business Name): COMMUNITY HEALTH CENTERS OF PINELLAS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26286 US HIGHWAY 19 N STE B-300
CLEARWATER FL
33761-4506
US

IV. Provider business mailing address

14100 58TH ST N STE 100
CLEARWATER FL
33760-9900
US

V. Phone/Fax

Practice location:
  • Phone: 727-824-8100
  • Fax:
Mailing address:
  • Phone: 727-824-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: EDWARD KUCHER
Title or Position: CHIEF REGULATORY OFFICER
Credential:
Phone: 727-824-8100