OPTUM INFUSION SERVICES 200, INC. (NPI# 1396701447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396701447 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 200, INC. |
| Practice Address |
5895 Core Rd Ste 417 North Charleston SC 29406-6088 |
| Practice Telephone | 8003343464 |
| Practice Fax Number | 8669428841 |
| Mailing Telephone | 8003343464 |
| Mailing Fax Number | 8669428841 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | DAVID JOHN OBERG (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9499885893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
50006393 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 730694 | 05 | |
| SC | DME091 | 05 |
| Street Address |
5895 CORE RD STE 417 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-6088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1043279789 | Intramed Plus, Inc. | Pharmacy | 4995 Lacross Rd, Suite 1200, North Charleston, SC 29406-6542 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295166742 | Palmetto Specialty Pharmacy | Pharmacy | 172 Mcswain Dr Ste C, West Columbia, SC 29169-4804 | 2013-12-10 |
| 1073650768 | I.v. Specialists, Inc. | Pharmacy | 25b Marshellen Dr, Beaufort, SC 29902-6900 | 2007-01-31 |
| 1528118817 | Infusion Care of Sc Inc | Pharmacy | 2301 N Beltline Blvd, Columbia, SC 29204-3402 | 2007-01-11 |
| 1639234206 | Option Care of The Lowcountry | Pharmacy | 1 Mathews Dr, Suite #107, Hilton Head Island, SC 29926-3746 | 2006-12-26 |
| 1962511774 | The Medicine Dropper, Inc. | Pharmacy | 420 Epting Ave, Greenwood, SC 29646-4040 | 2006-08-29 |
| 1255390993 | Intramed Plus, Inc | Pharmacy | 112 Saluda Ridge Ct, Suite 100, West Columbia, SC 29169-3455 | 2006-03-21 |
| 1992791461 | Home Medical Equipment Inc | Pharmacy | 309 University Pkwy, Aiken, SC 29801-0005 | 2005-09-21 |
| 1689124901 | Anmed Health | Pharmacy | 2000 E Greenville St, Suite 5035, Anderson, SC 29621-1580 | 2016-10-11 |
| 1134491129 | Sunrise Medications Inc | Pharmacy | 2 Palmetto Wood Pkwy, Ste 102, Irmo, SC 29063-2881 | 2012-02-06 |
| 1366586174 | Mobley Drugs, Inc | Pharmacy | 1073 W Meeting St, Lancaster, SC 29720-2205 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.