OPTUM INFUSION SERVICES 204, INC. (NPI# 1356538771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356538771 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 204, INC. |
| Practice Address |
201 N. Tarragona Street Pensacola FL 32502 |
| Mailing Address |
201 N. Tarrangona Street Pensacola FL 32502 |
| Practice Telephone | 8665228438 |
| Practice Fax Number | 8442461271 |
| Mailing Telephone | 8665228438 |
| Mailing Fax Number | 8442461271 |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | DAVID JOHN OBERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9499885893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PH27820 | FL | Suppliers |
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PH22890 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016048600 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1029215 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1982795209 | Optum Infusion Services 204, Inc. | Home Health | 8509 Benjamin Rd Ste A, Tampa, FL 33634-1224 | 2006-09-28 |
| Street Address |
201 N. TARRAGONA STREET |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1730269200 | David E Lemay | Specialist | 100 S Baylen St Ste A, Pensacola, FL 32502 | 2006-10-17 |
| Find all providers in zip 32502 | ||||
| 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 |
|---|---|---|---|---|
| 1790160406 | Baptist Hosptial Pharmacy | Pharmacy | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2015-07-23 |
| 1508879222 | Landmark Drugs, Inc. | Pharmacy | 2501 W Cervantes St, Pensacola, FL 32505-7152 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770090482 | Eventus Rx Inc | Pharmacy | 11300 Lindbergh Blvd Ste 107, Fort Myers, FL 33913-8827 | 2018-01-03 |
| 1437590791 | New Era Pharmaceuticals LLC | Pharmacy | 3350 Nw 53rd St, 102, Ft Lauderdale, FL 33309-6354 | 2013-07-15 |
| 1831481027 | Smp Pharmacy Solutions, LLC | Pharmacy | 7500 Nw 26th St Ste 101, Miami, FL 33122-1414 | 2011-05-06 |
| 1154623023 | Hospice of Palm Beach County, Inc. | Pharmacy | 300 Northpoint Pkwy Ste 301, West Palm Beach, FL 33407-1979 | 2010-11-29 |
| 1588897375 | Reliance Pharmacy LLC | Pharmacy | 2100 45th St Ste B1, West Palm Beach, FL 33407-2063 | 2009-08-27 |
| 1285866459 | In Home Health, LLC. | Pharmacy | 13650 Metropolis Ave Ste 105, Fort Myers, FL 33912-4375 | 2009-08-20 |
| 1174784334 | Florida Hhi LLC | Pharmacy | 6704 Benjamin Rd, Ste 700, Tampa, FL 33634-4408 | 2008-06-20 |
| 1972784841 | Complete Pharmacy and Medical Solutions LLC | Pharmacy | 5829 Nw 158th St, Miami Lakes, FL 33014-6721 | 2007-11-20 |
| 1881881522 | Infusal Partners | Pharmacy | 9655 Florida Mining Blvd W, Bldg 400, Suites 410-411, Jacksonville, FL 32257-2031 | 2007-09-26 |
| 1053514976 | Infusal Partners | Pharmacy | 5505 Johns Rd, Suite 700, Tampa, FL 33634-4307 | 2007-06-07 |
| 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.