OPTUM PHARMACY 701, LLC (NPI# 1356967749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356967749 |
| Entity Type | Organization |
| Organization Name | OPTUM PHARMACY 701, LLC |
| Practice Address |
4015 Shopton Rd, Suite 600 Charlotte NC 28217 |
| Practice Telephone | 8005626223 |
| Practice Fax Number | 8004917997 |
| Mailing Telephone | 8005626223 |
| Mailing Fax Number | 8004917997 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | MICHAEL GERARD ZEGLINSKI (CEO, PRESIDENT) |
| Authorized Official Telephone | 4128743100 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTUMRX ADMINISTRATIVE SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
| 1457901076 | Optum Pharmacy 701, LLC | Pharmacy | 8131 W Bostian Rd Ste A350, Woodinville, WA 98072-5029 | 2019-09-16 |
| 1508482985 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1871143412 | Optum Pharmacy 701, LLC | Pharmacy | 8131 W Bostian Rd Ste A350, Woodinville, WA 98072-5029 | 2019-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OPTUM PHARMACY 701, LLC | 1600 Mcconnor Pkwy, Schaumburg, IL 60173-6801 |
| Colorado Business Entities | Optum Pharmacy 701, LLC | 11000 Optum Circle, Eden Prairie, MN 55344 |
| Street Address |
4015 SHOPTON RD, SUITE 600 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482985 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| 1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336445360 | Medassist of Mecklenburg | Pharmacy | 601 E 5th St Ste 350, Charlotte, NC 28202-3031 | 2011-02-09 |
| 1750517108 | Carolinas Medical Center At Home LLC | Pharmacy | 1701 Abbey Pl, Charlotte, NC 28209-3733 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592177 | U.S. Pharmamed, LLC | Pharmacy | 3450 Tarheel Dr Ste 101 Bldg 4, Raleigh, NC 27609-2760 | 2020-06-10 |
| 1265907109 | Senderra Rx Partners LLC | Pharmacy | 991 Aviation Pkwy Ste 200, Morrisville, NC 27560-9101 | 2018-10-08 |
| 1497237002 | Pharmacync | Pharmacy | 400 Ashville Ave Ste 200b, Cary, NC 27518-6134 | 2018-08-30 |
| 1629440631 | Mylan Health Management LLC | Pharmacy | 2898 Manufacturers Rd, Mezzanine Floor, Suite 100, Greensboro, NC 27406-4600 | 2015-10-29 |
| 1760773337 | Denton Pharmacy, Inc | Pharmacy | 807 D Broad St, Oriental, NC 28571 | 2011-04-29 |
| 1821391608 | Rx 24 7 On Call LLC | Pharmacy | 11635 Northpark Dr Ste 306, Wake Forest, NC 27587-6525 | 2010-12-16 |
| 1386744407 | Family Medical Supply, Inc | Pharmacy | 2005 W Cumberland St, Suite 200, Dunn, NC 28334-4447 | 2006-09-25 |
| 1083178909 | Mh Mission Hospital, Lllp | Pharmacy | 400 Ridgefield Ct, Asheville, NC 28806-2213 | 2019-01-24 |
| 1659855948 | Sanjeevan LLC | Pharmacy | 200 Trans Air Dr Ste 900, Morrisville, NC 27560-7288 | 2018-09-21 |
| 1861936809 | Cary Long Term Care Pharmacy LLC | Pharmacy | 135 Parkway Office Ct, Ste 105, Cary, NC 27518-7424 | 2016-12-09 |
| 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.