OPTUM INFUSION SERVICES 500, INC. (NPI# 1437649456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437649456 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 500, INC. |
| Practice Address |
19 Chapin Road, Building D, Suite D7 Pine Brook NJ 07058-9385 |
| Mailing Address |
19 Chapin Road, Building D, Suite D7 Pine Brook NJ 07058-1351 |
| Practice Telephone | 8444103647 |
| Practice Fax Number | 8442259055 |
| Mailing Telephone | 8444103647 |
| Mailing Fax Number | 8442259055 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-03-06 |
| 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 | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177717 | 01 |
| Other Name | Type Code |
|---|---|
| BriovaRx Infusion Services, Inc. | Doing Business As Name - Organization |
| 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 |
| 1326520206 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 5627 University Heights, Ste. 105, San Antonio, TX 78249 | 2018-09-06 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 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 |
| 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 |
| Street Address |
19 CHAPIN ROAD, BUILDING D, SUITE D7 |
| City | PINE BROOK |
| State | NJ |
| Zip Code | 07058-9385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746296 | Stephanie Dorime | Pharmacist | 19 Chapin Road, Building D, Ste D7, Pine Brook, NJ 07058 | 2019-02-20 |
| 1083182018 | Lisa Sebro | Social Worker | 3226 Rachel Ter, Pine Brook, NJ 07058 | 2018-11-07 |
| 1245747187 | Angelsense Inc. | Emergency Response System Companies | 30 Chapin Rd Ste 1201, Pine Brook, NJ 07058 | 2018-01-01 |
| 1174042220 | 121 Learning Works, LLC | Day Training, Developmentally Disabled Services | 300 Changebridge Road, Suite 101, Pine Brook, NJ 07058 | 2017-09-10 |
| 1669558896 | Thomas William Sudol | Dentist | 272 Change Bridge Road, Pine Brook, NJ 07058 | 2006-10-31 |
| 1477521771 | Arcadian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 45 Us Highway 46 East, Unit 606, Pine Brook, NJ 07058 | 2006-03-10 |
| 1447760814 | P4 Clinical LLC | Pathology | 25 Riverside Dr, Pine Brook, NJ 07058 | 2017-10-11 |
| 1043532682 | Nancy A Bayda | Pharmacist | 45 Route 46 East, Suite 609, Pine Brook, NJ 07058 | 2010-02-24 |
| 1194091405 | Michelle J Evans | Speech-Language Pathologist | 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 | 2012-03-30 |
| 1851888465 | Sophie Pierre-louis | Speech-Language Pathologist | 2100 Rachel Ter Apt 15, Pine Brook, NJ 07058-9329 | 2018-04-18 |
| Find all providers in zip 07058 | ||||
| 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 |
|---|---|---|---|---|
| 1841737913 | Empire Specialty Pharmacy | Pharmacy | 6509 Bergenline Ave, West New York, NJ 07093-1608 | 2017-01-26 |
| 1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
| 1497977748 | Home Care Services, Inc. | Pharmacy | 160 Raritan Center Pkwy, Ste 18, Edison, NJ 08837-3637 | 2007-05-03 |
| 1487789517 | Quick Chek Corporation | Pharmacy | 1928 Westfield Ave, Scotch Plains, NJ 07076 | 2007-02-22 |
| 1144259722 | Promptcare Home Infusion, Inc. | Pharmacy | 51 Terminal Ave, Suite B, Clark, NJ 07066-1321 | 2006-07-03 |
| 1811990047 | Nbn Infusions Inc | Pharmacy | 2 Pin Oak Ln, Unit 250, Cherry Hill, NJ 08003-1632 | 2005-05-23 |
| 1467018952 | Lifeline Rx LLC | Pharmacy | 5408 Park Ave, West New York, NJ 07093-3517 | 2019-05-10 |
| 1609167493 | Town & Country Compounding and Consultation LLC, Series T&c Neuromax | Pharmacy | 106 Prospect St, Ridgewood, NJ 07450-4433 | 2011-04-27 |
| 1669701017 | National Therapeutic Infusions | Pharmacy | 701 West Ave, 3rd Floor South Side, Ocean City, NJ 08226-3770 | 2009-12-14 |
| 1194906172 | Pharmcare Usa of Edison, Inc. | Pharmacy | 95 Newfield Ave, Suite B, Edison, NJ 08837-3824 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | PINE BROOK |
| Zip Code | 07058 |
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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.