OPTUM INFUSION SERVICES 500, INC. (NPI# 1326520206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326520206 |
Entity Type | Organization |
Organization Name | OPTUM INFUSION SERVICES 500, INC. |
Practice Address |
5627 University Heights Ste. 105 San Antonio TX 78249 |
Mailing Address |
5627 University Hts Ste 105 San Antonio TX 78249-3583 |
Practice Telephone | 8445537131 |
Practice Fax Number | 8448994461 |
Mailing Telephone | 8445537131 |
Enumeration Date | 2018-09-06 |
Last Update Date | 2020-03-06 |
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 | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
BriovaRx Infusion Services, Inc. | Other Name - Individual/Organization |
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 |
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 |
5627 UNIVERSITY HEIGHTS STE. 105 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
Find all providers in zip 78249 |
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 |
---|---|---|---|---|
1508254327 | American Specialty Pharmacy, Inc. | Pharmacy | 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 | 2014-12-31 |
1265685937 | Guardian Health Systems | Pharmacy | 7302 Louis Pasteur Dr, Suite 105, San Antonio, TX 78229-4508 | 2008-10-28 |
1841459328 | 340b Partners Pharmacy LLC | Pharmacy | 303 N Frio St Ste 102, San Antonio, TX 78207-3034 | 2008-06-09 |
1265549638 | Carvajal Pharmacy Ltc | Pharmacy | 119 Huizar Rear, San Antonio, TX 78214-2707 | 2006-08-23 |
1598826018 | Advantage Infusion Services, Inc. | Pharmacy | 6019 Randolph Blvd, San Antonio, TX 78233-5719 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477173417 | Metroplex Pharmacy Solutions LLC | Pharmacy | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
1699319863 | Kare Home Infusion Pharmacy Pllc | Pharmacy | 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 | 2019-10-31 |
1497309660 | Pareek Inc | Pharmacy | 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 | 2019-07-26 |
1043878762 | Gaspy Infusion Services Inc | Pharmacy | 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 | 2019-05-29 |
1952801128 | Renew Hydration LLC | Pharmacy | 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 | 2018-02-14 |
1790294668 | Profusion, LLC | Pharmacy | 3200 Steck Ave Ste 330, Austin, TX 78757-8034 | 2017-09-23 |
1871974485 | Innoveix Pharmaceuticals Inc. | Pharmacy | 3790 Arapaho Rd, Addison, TX 75001-4311 | 2015-06-10 |
1881081818 | Home Infusion Services, LLC | Pharmacy | 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 | 2015-04-16 |
1255731261 | Total Rx Care Inc | Pharmacy | 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 | 2014-08-27 |
1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
Find all providers with the same taxonomy |
City | SAN ANTONIO |
Zip Code | 78249 |
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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.