OPTIMED PHARMACY, INC (NPI# 1033489562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033489562 |
| Entity Type | Organization |
| Organization Name | OPTIMED PHARMACY, INC |
| Other Organization Name | OPTIMED SPECIALTY PHARMACY |
| Practice Address |
6480 Technology Ave Suite A Kalamazoo MI 49009-8116 |
| Practice Telephone | 8773850535 |
| Practice Fax Number | 8773262856 |
| Mailing Telephone | 8773850535 |
| Mailing Fax Number | 8773262856 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | ANDREW REEVES (CEO) |
| Authorized Official Telephone | 2692508018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
A9-0001848 | DE | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
40838MS | ID | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH28590 | FL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
NRX0000991 | DC | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PCN.0003101 | CT | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
54.018836 | IL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHNR000291 | GA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PMP-1278 | HI | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
22-45066 | KS | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
MI1914 | KY | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
64001694A | IN | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
OSP.000649 | CO | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHY.007111 | LA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
4566 | IA | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
110182 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133173 | 01 |
| Other Name | Type Code |
|---|---|
| OptiMed Specialty Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | OPTIMED PHARMACY, INC | 1000 Oakland Dr, Kalamazoo, MI 49008 |
| Washington State Corporations | OPTIMED PHARMACY, INC. | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 |
| Oregon Corporations, Companies and Business Names | OPTIMED PHARMACY, INC. | 6480 Technology Ave Ste A, Kalamazoo, MI 49009 |
| Alabama Business Registrations | OptiMed Pharmacy, Inc. | 154 South Kalamazoo Mall, Kalamazoo, MI 49007 |
| Street Address |
6480 TECHNOLOGY AVE SUITE A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379788 | Kimberly Ann Wagner | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-06-02 |
| 1851927974 | Rachel Ruf | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-03-20 |
| 1205316791 | Kimberly Dawn Batten | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8116 | 2018-08-15 |
| 1023545894 | Mindy Peters | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8116 | 2017-05-11 |
| 1023356334 | Jessica Land | Pharmacist | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2013-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1184793390 | Apria Healthcare, Inc. | Pharmacy | 5234 Azo Ct, Kalamazoo, MI 49048-8560 | 2006-11-06 |
| 1891798401 | Red Crown I, Inc | Pharmacy | 4206 Stadium Dr, Kalamazoo, MI 49008-1446 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689204471 | Advanced Physician Group LLC | Pharmacy | 13530 Michigan Ave # L2, Dearborn, MI 48126-3574 | 2020-01-21 |
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1811539562 | Danny's Pharmacy | Pharmacy | 1629 S Merriman, Westland, MI 48186 | 2019-10-15 |
| 1437716958 | Apollo Pharmacy of Wyandotte, Inc | Pharmacy | 2000 Eureka Rd, Wyandotte, MI 48192-6004 | 2019-05-20 |
| 1386101566 | The Memorial Hospital | Pharmacy | 9900 W M 21 Ste 103, Ovid, MI 48866-9798 | 2019-02-25 |
| 1639661077 | Barbara Ann Karmanos Cancer Hospital | Pharmacy | 711 Stephenson Hwy, Troy, MI 48083-1128 | 2018-06-01 |
| 1912444985 | Sma Patient Care LLC | Pharmacy | 6864 Merrick Dr, Troy, MI 48098-1750 | 2017-01-27 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| 1871980771 | Oakwood Healthcare Inc | Pharmacy | 10000 Telegraph Suite, Suite 115a, Taylor, MI 48180 | 2015-04-20 |
| 1811315963 | Shri Narayan LLC | Pharmacy | 12660 10 Mile Rd Ste B, South Lyon, MI 48178-9141 | 2014-04-04 |
| 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.