OPTUM INFUSION SERVICES 500, INC. (NPI# 1205363777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205363777 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 500, INC. |
| Practice Address |
2182 Dividend Drive Columbus OH 43228 |
| Practice Telephone | 8443862472 |
| Practice Fax Number | 8887765018 |
| Mailing Telephone | 8443862472 |
| Mailing Fax Number | 8887765068 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | EDWARD KRAMM (CEO) |
| Authorized Official Telephone | 8773429352 |
| Is Organization Subpart | Y |
| Parent Organization Name | AXELACARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
| 1326520206 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 5627 University Heights, Ste. 105, San Antonio, TX 78249 | 2018-09-06 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1437649456 | Optum Infusion Services 500, Inc. | Pharmacy | 19 Chapin Road, Building D, Suite D7, Pine Brook, NJ 07058-9385 | 2018-05-15 |
| 1699262808 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 4900 Rivergrade Rd Ste E120, Irwindale, CA 91706-1419 | 2018-04-13 |
| 1780187237 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 8888 Interchange Dr Rm 119, Houston, TX 77054-2512 | 2018-03-12 |
| 1093228306 | Optum Infusion Services 500, Inc. | Pharmacy | 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-11-08 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OPTUM INFUSION SERVICES 500, INC. | 15529 College Blvd, Lenexa, KS 66219 |
| Colorado Business Entities | Optum Infusion Services 500, Inc. | 15529 College Blvd, Lenexa, KS 66219 |
| Street Address |
2182 DIVIDEND DRIVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1619331394 | Rebecca Rose Kaliher | Specialist/Technologist | 2685 River Oaks Dr, Columbus, OH 43228 | 2016-04-08 |
| Find all providers in zip 43228 | ||||
| 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 |
|---|---|---|---|---|
| 1841581246 | Clinical Specialties Inc | Pharmacy | 6361 Nicholas Dr, Columbus, OH 43235-5204 | 2011-04-20 |
| 1013226612 | Gold Medical | Pharmacy | 1799 W 5th Ave, Suite 252, Columbus, OH 43212-2322 | 2010-09-29 |
| 1689757387 | Rx Enterprises | Pharmacy | 2020 Doctors Park Dr, Columbus, IN 47203-2221 | 2006-10-24 |
| 1104938992 | Southern Pharmaceutical Corporation | Pharmacy | 165 Rosecrest Dr, Columbus, MS 39701-5501 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164741377 | Legacy Infusion Services, LLC | Pharmacy | 9969 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2010-05-27 |
| 1871652289 | In Home Health, LLC | Pharmacy | 333 N. Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| 1841389533 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 29313 Clemens Rd, Ste 2 L, Westlake, OH 44145-1052 | 2006-10-12 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1699878165 | Homereach | Pharmacy | 404 East Wilson Bridge Road, Suite H, Worthington, OH 43085-2369 | 2006-09-07 |
| 1134137946 | Csi Managed Care Inc. | Pharmacy | 6955 Treeline Dr, Brecksville, OH 44141-3393 | 2006-08-04 |
| 1619943115 | Braden Med Services Inc | Pharmacy | 44519 Marietta Rd, Caldwell, OH 43724-9209 | 2006-02-24 |
| 1508850926 | Amerimed, Inc. | Pharmacy | 9961 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2005-08-31 |
| 1124628094 | Aultman Hospital | Pharmacy | 6100 Whipple Ave Nw, North Canton, OH 44720-7618 | 2020-10-29 |
| 1326683244 | Dragonfly Infusion Services | Pharmacy | 100 Main St, Wintersville, OH 43953-3734 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPTUM INFUSION SERVICES 500, INC..
| 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.