OPTUM INFUSION SERVICES 301, LP (NPI# 1104919877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104919877 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 301, LP |
| Practice Address |
7512 N Broadway Suite 308 Oklahoma City OK 73116-9055 |
| Mailing Address |
7512 N Broadway, Suite 308 Oklahoma City OK 73116 |
| Practice Telephone | 8008734487 |
| Practice Fax Number | 8442048057 |
| Mailing Telephone | 8008734487 |
| Mailing Fax Number | 8442048057 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | EDWARD KRAMM (CEO) |
| Authorized Official Telephone | 8773429352 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
1-7275 | OK | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
22-44914 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100241090B | 05 | |
| PK | 2137652 | 01 | |
| OK | 100241090A | 05 |
| Other Name | Type Code |
|---|---|
| Guardian Health Systems, LP dba AxelaCare | Doing Business As Name - Organization |
| Street Address |
7512 N BROADWAY SUITE 308 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-9055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922102151 | Carter Healthcare Pharmacy and Dme of Oklahoma, LLC | Pharmacy | 3105 S Meridian Ave, Oklahoma City, OK 73119-1022 | 2006-09-08 |
| 1003835018 | Integris Baptist Medical Center Inc | Pharmacy | 3500 Nw 56th St, Suite 201, Oklahoma City, OK 73112-4529 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148665 | Advanced Infusion Therapeutics, LLC | Pharmacy | 5401 S Sheridan Rd, Ste 202, Tulsa, OK 74145-7531 | 2006-10-16 |
| 1730102773 | Economy Pharmacy Inc | Pharmacy | 104 N 35th St, Muskogee, OK 74401-2159 | 2006-07-25 |
| 1518912393 | Cf Solutions, Inc. | Pharmacy | 7471 E 46th Pl, Tulsa, OK 74145-6305 | 2006-05-23 |
| 1912148008 | Arcadia Pharmacy Solutions, LLC | Pharmacy | 4125 S Mingo Rd, Tulsa, OK 74146-3633 | 2009-03-18 |
| 1144408600 | Ritter Express Pharmacy Vital Care | Pharmacy | 702 S Mississippi Ave, Atoka, OK 74525-3324 | 2008-02-07 |
| 1790825974 | Infucare Inc | Pharmacy | 211 S 1st St, Suite A, Madill, OK 73446 | 2007-02-07 |
| 1639248610 | Guardian Health Systems Eufaula | Pharmacy | 401 S Main St, Eufaula, OK 74432-3251 | 2006-11-06 |
| 1003835067 | Evans Pharmacy LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1487694816 | Ponca City Homecare Services Inc. | Pharmacy | 1900 N 14th St, Ponca City, OK 74601-2035 | 2006-06-07 |
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on OPTUM INFUSION SERVICES 301, LP.
| 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.