OPTUM INFUSION SERVICES 500, INC.


Address: 5627 University Heights, Ste. 105, San Antonio, TX 78249
Phone: 8445537131

OPTUM INFUSION SERVICES 500, INC. (NPI# 1326520206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326520206
Entity Type Organization
Organization Name OPTUM INFUSION SERVICES 500, INC.
Practice Address 5627 University Heights
Ste. 105
San Antonio
TX 78249
Mailing Address 5627 University Hts Ste 105
San Antonio
TX 78249-3583
Practice Telephone 8445537131
Practice Fax Number 8448994461
Mailing Telephone 8445537131
Enumeration Date 2018-09-06
Last Update Date 2020-03-06
Authorized Official Name EDWARD PAUL KRAMM (CEO)
Authorized Official Telephone 9137473705
Is Organization Subpart Y
Parent Organization Name AXELACARE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
Y 3336H0001X Pharmacy
Specialization: Home Infusion Therapy Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
BriovaRx Infusion Services, Inc. Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265904924 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 2018-12-19
1699251520 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 2685 Patton Rd, Roseville, MN 55113 2018-07-13
1437649456 Optum Infusion Services 500, Inc. Pharmacy 19 Chapin Road, Building D, Suite D7, Pine Brook, NJ 07058-9385 2018-05-15
1699262808 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 4900 Rivergrade Rd Ste E120, Irwindale, CA 91706-1419 2018-04-13
1780187237 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 8888 Interchange Dr Rm 119, Houston, TX 77054-2512 2018-03-12
1093228306 Optum Infusion Services 500, Inc. Pharmacy 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 2017-11-08
1205363777 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 2182 Dividend Drive, Columbus, OH 43228 2017-05-16
1407394588 Optum Infusion Services 500, Inc. Pharmacy 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 2017-02-08

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities OPTUM INFUSION SERVICES 500, INC. 15529 College Blvd, Lenexa, KS 66219
Colorado Business Entities Optum Infusion Services 500, Inc. 15529 College Blvd, Lenexa, KS 66219

Office Location

Street Address 5627 UNIVERSITY HEIGHTS
STE. 105
City SAN ANTONIO
State TX
Zip Code 78249

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222663 Zachary Mitchell Kimo Mitsui Specialist/Technologist 7311 Bluestone Rd, San Antonio, TX 78249 2020-10-15
1538770839 Go Operations 3 LLC Skilled Nursing Facility 4366 Lockhill Selma, Shavano, TX 78249 2020-08-11
1417566548 Heenaben Jayantilal Rathod Registered Nurse 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 2020-07-24
1306455530 Z-pediatrics Pllc Pediatrics 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 2020-07-23
1568080497 San Antonio Wisdom Teeth, Pllc Dentist 13535 Hausman Pass #102-a, San Antonio, TX 78249 2020-07-07
1265071203 Caralyne Sandquist Physician Assistant 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 2019-12-21
1104472935 Adam J Gordon Social Worker 6363 Dezavala Rd, San Antonio, TX 78249 2019-08-16
1336700582 Michael Leland Post Specialist/Technologist 5150 Dezavala, San Antonio, TX 78249 2019-06-27
1043788722 Stephen John Reynolds Counselor 5907 Trent Rnch, San Antonio, TX 78249 2018-11-11
1396211504 Christina Michelle Morales Specialist/Technologist 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 2018-10-16
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Taxonomy Information

Taxonomy Code 3336H0001X
Grouping Suppliers
Classification Pharmacy
Specialization Home Infusion Therapy Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508254327 American Specialty Pharmacy, Inc. Pharmacy 2414 Babcock Rd Ste 106, San Antonio, TX 78229-4870 2014-12-31
1265685937 Guardian Health Systems Pharmacy 7302 Louis Pasteur Dr, Suite 105, San Antonio, TX 78229-4508 2008-10-28
1841459328 340b Partners Pharmacy LLC Pharmacy 303 N Frio St Ste 102, San Antonio, TX 78207-3034 2008-06-09
1265549638 Carvajal Pharmacy Ltc Pharmacy 119 Huizar Rear, San Antonio, TX 78214-2707 2006-08-23
1598826018 Advantage Infusion Services, Inc. Pharmacy 6019 Randolph Blvd, San Antonio, TX 78233-5719 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477173417 Metroplex Pharmacy Solutions LLC Pharmacy 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 2020-04-20
1699319863 Kare Home Infusion Pharmacy Pllc Pharmacy 4225 Gladys Ave Ste A, Beaumont, TX 77706-3644 2019-10-31
1497309660 Pareek Inc Pharmacy 13988 Diplomat Dr Ste 100-b, Farmers Branch, TX 75234-8807 2019-07-26
1043878762 Gaspy Infusion Services Inc Pharmacy 11104 W Airport Blvd Ste 223, Stafford, TX 77477-3035 2019-05-29
1952801128 Renew Hydration LLC Pharmacy 2601 W Mockingbird Ln Ste 100, Dallas, TX 75235-5630 2018-02-14
1790294668 Profusion, LLC Pharmacy 3200 Steck Ave Ste 330, Austin, TX 78757-8034 2017-09-23
1871974485 Innoveix Pharmaceuticals Inc. Pharmacy 3790 Arapaho Rd, Addison, TX 75001-4311 2015-06-10
1881081818 Home Infusion Services, LLC Pharmacy 2790 Lake Vista Dr., Suite 800, Lewisville, TX 75067 2015-04-16
1255731261 Total Rx Care Inc Pharmacy 9101 Lakeview Pkwy Ste 500, Rowlett, TX 75088-4540 2014-08-27
1093053126 Guardian Health Systems Aurora Pharmacy 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 2013-01-24
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Competitor

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City SAN ANTONIO
Zip Code 78249

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Dataset Information

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.

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