OPTUM INFUSION SERVICES 500, INC. (NPI# 1265904924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265904924 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 500, INC. |
| Practice Address |
1893 General George Patton Drive, Suite 100 Franklin TN 37067 |
| Practice Telephone | 8445797786 |
| Practice Fax Number | 8442848560 |
| Mailing Telephone | 8445797786 |
| Mailing Fax Number | 8442848560 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | EDWARD PAUL KRAMM (CEO) |
| Authorized Official Telephone | 9137473705 |
| 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 | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| 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 |
1893 GENERAL GEORGE PATTON DRIVE, SUITE 100 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580628 | Jennifer Patterson Juskowich | Physical Therapist | 101 International Drive, Franklin, TN 37067 | 2020-08-28 |
| 1841819505 | Kasar Findi | Nurse Practitioner | 2105 Eward Curd Lane, Nashville, TN 37067 | 2020-04-13 |
| 1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
| 1467945402 | Steven A Roush | Dentist | 5040 Carothers Parkway, Ste 101, Franklin, TN 37067 | 2018-06-13 |
| 1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
| 1639690555 | Jennifer A Kilgore | Audiologist | 4091 Mallory Lane Ste 122, Franklin, TN 37067 | 2017-06-30 |
| Find all providers in zip 37067 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038230 | Smart Pharmacy LLC | Pharmacy | 10 W Palmer St, Franklin, NC 28734-3046 | 2013-04-28 |
| 1225136252 | Fourco Inc | Pharmacy | 1524 Hospital Ave, Franklin, LA 70538-3723 | 2006-09-21 |
| 1871000554 | Tipton Properties LLC | Pharmacy | 175 East Main Street, Suite A, Franklin, NC 28734 | 2018-01-04 |
| 1447648084 | Compoundcorrectrx | Pharmacy | 100 Covey Dr Ste 204, Franklin, TN 37067-5603 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091488 | Phipps Pharmacy Inc | Pharmacy | 20190 Main St E, Huntingdon, TN 38344-4119 | 2019-12-23 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1700444163 | Parish Pharmacy Enterprise LLC | Pharmacy | 1162 W Poplar Ave, Collierville, TN 38017-3196 | 2019-05-31 |
| 1538726211 | Airville Pharmacy, LLC | Pharmacy | 1785 Airport Rd Ste A, Gallatin, TN 37066-3740 | 2019-05-29 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1922575315 | The Compounding Lab | Pharmacy | 714 W Market St Ste 101, Johnson City, TN 37604-5483 | 2018-10-24 |
| 1013495472 | Sarjo Pharmacy, Inc. | Pharmacy | 3385 Airways Blvd Ste 217, Memphis, TN 38116-3808 | 2018-07-29 |
| 1518443241 | Jj Beans At Lenox LLC | Pharmacy | 6900 Lenox Village Dr Ste 14, Nashville, TN 37211-7366 | 2018-07-16 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1144747411 | River City Pharmacy Inc | Pharmacy | 5564 Little Debbie Pkwy, Suite 102, Ooltewah, TN 37363-4356 | 2017-08-27 |
| Find all providers with the same taxonomy | ||||
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| 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.