OPTUM INFUSION SERVICES 308, LLC (NPI# 1518234152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518234152 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 308, LLC |
| Practice Address |
12503 E Euclid Dr Ste 80 Centennial CO 80111 |
| Practice Telephone | 8772240617 |
| Practice Fax Number | 8448432804 |
| Mailing Telephone | 8772240617 |
| Mailing Fax Number | 8448432804 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | EDWARD KRAMM (CEO) |
| Authorized Official Telephone | 8773429352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | NR-50851 | WY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PDO.0000000834 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07182830 | 05 | |
| PK | 2132461 | 01 |
| Other Name | Type Code |
|---|---|
| AxelaCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1982901195 | Optum Infusion Services 308, LLC | Pharmacy | 2420 Comanche Rd Ne, Suite A-5, Albuquerque, NM 87107-4753 | 2011-02-24 |
| 1356352983 | Optum Infusion Services 308, LLC | Pharmacy | 2555 W. Fairview Street, Suite 104, Building D, Chandler, AZ 85224-4708 | 2006-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Optum Infusion Services 308, LLC | 15529 College Blvd., Lenexa, KS 66219-1351 |
| Street Address |
12503 E EUCLID DR STE 80 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034700 | Terri Lyn Pera | Pharmacist | 12503 E Euclid Dr Ste 80, Centennial, CO 80111-6400 | 2020-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| 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 |
|---|---|---|---|---|
| 1376092890 | Us Specialty Care, LLC | Pharmacy | 7472 S Tucson Way Ste A, Centennial, CO 80112-4452 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588924864 | Real World Enterprises, Inc | Pharmacy | 4803 Innovation Dr, Unit 2, Fort Collins, CO 80525-7307 | 2012-05-21 |
| 1346554755 | Qualmed Pharmacy Inc | Pharmacy | 14 Inverness Dr E Ste H140, Englewood, CO 80112-5646 | 2010-07-28 |
| 1689623555 | Accredo Health Group Inc | Pharmacy | 361 Inverness Dr S, Ste F, Englewood, CO 80112-5860 | 2006-05-09 |
| 1326047184 | Ihs Acquisition Xxx, Inc | Pharmacy | 501 W 44th Ave, Unit A, Denver, CO 80216-2604 | 2005-07-14 |
| 1922353499 | Cj Pharmacy Infusions, LLC | Pharmacy | 422 Main St, Sterling, CO 80751-4343 | 2012-07-19 |
| 1578857116 | Mcr Loveland Infusion Pharmacy | Pharmacy | 2975 Ginnala Dr Ste 120, Loveland, CO 80538-3300 | 2011-05-31 |
| 1285943464 | C J Pharmacyservices LLC | Pharmacy | 422 Main St, Sterling, CO 80751-4343 | 2010-10-05 |
| 1053332007 | Bgs Pharmacy Partners Inc | Pharmacy | 4465 Northpark Dr, Ste #303, Colorado Springs, CO 80907 | 2006-07-22 |
| City | CENTENNIAL |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on OPTUM INFUSION SERVICES 308, LLC.
| 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.