OPTUM PHARMACY 705, LLC (NPI# 1154306801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154306801 |
| Entity Type | Organization |
| Organization Name | OPTUM PHARMACY 705, LLC |
| Practice Address |
1100 Lee Branch Ln Birmingham AL 35242-7298 |
| Mailing Address |
Optum Pharmacy 705, LLC P.o. Box 851378 Minneapolis MN 55485-1378 |
| Practice Telephone | 2059958388 |
| Practice Fax Number | 2059958897 |
| Mailing Telephone | 8555776521 |
| Mailing Fax Number | 8122858541 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | DAVID OBERG (VICE PRESIDENT, COMPLIANCE) |
| Authorized Official Telephone | 9499885893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2128765 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538498621 | Optum Pharmacy 705, LLC | Pharmacy | 11142 Renner Blvd, Lenexa, KS 66219-9621 | 2009-12-18 |
| 1700814449 | Optum Pharmacy 705, LLC | Pharmacy | 3539 Bluecutt Rd, Columbus, MS 39705-1324 | 2006-06-29 |
| 1467401315 | Optum Pharmacy 705, LLC | Pharmacy | 1893 General George Patton Dr Ste 106, Franklin, TN 37067-2655 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OPTUM PHARMACY 705, LLC | 1600 Mcconnor Pkwy, Schaumburg, IL 60173-6801 |
| Street Address |
1100 LEE BRANCH LN |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-7298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170603 | Karly S Miller | Pharmacist | 1100 Lee Branch Ln, Birmingham, AL 35242-7298 | 2017-05-05 |
| 1659820827 | Rodney Neal Weldon Jr. | Pharmacist | 1100 Lee Branch Ln, Birmingham, AL 35242 | 2016-09-28 |
| 1528398641 | Kelly Kemp Stuart | Pharmacist | 1100 Lee Branch Ln, Birmingham, AL 35242-7298 | 2010-01-12 |
| 1386798494 | Wendy Morgan Teresi | Pharmacist | 1100 Lee Branch Ln, Birmingham, AL 35242-7298 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 1073170775 | Village Drug Co. LLC | Pharmacy | 300 Carlow Ln, Ste 116, Birmingham, AL 35217 | 2019-05-29 |
| 1609341171 | Ur Pharmacy Inc | Pharmacy | 300 Cahaba Park Cir Ste 218, Birmingham, AL 35242-5043 | 2018-10-10 |
| 1235653221 | Senior Care Pharmacy Inc | Pharmacy | 1424 Montclair Rd Ste 6101, Birmingham, AL 35210-2208 | 2017-08-01 |
| 1659728624 | Helena Family Pharmacy LLC | Pharmacy | 3108 Heights Vlg, Birmingham, AL 35243-5221 | 2016-05-19 |
| 1073931689 | Optum Infusion Services 206, Inc. | Pharmacy | 660 University Blvd, Suite A, Birmingham, AL 35233-1100 | 2014-04-01 |
| 1104251552 | Moores Pharmacy LLC | Pharmacy | 1200 Forestdale Sq, Birmingham, AL 35214-3838 | 2013-09-04 |
| 1134567100 | Mills Pharmacy At Woodlawn LLC | Pharmacy | 6501 1st Ave N, Birmingham, AL 35206-5009 | 2013-06-12 |
| 1023456019 | Walgreen Co | Pharmacy | 3686 Grandview Pkwy Ste 120, Birmingham, AL 35243-3334 | 2013-06-12 |
| 1053696880 | Elite Rx, LLC | Pharmacy | 135 Gemini Cir Ste 201, Birmingham, AL 35209-5842 | 2011-10-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on OPTUM PHARMACY 705, 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.