OPTUM INFUSION SERVICES 305, LLC (NPI# 1932412095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932412095 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 305, LLC |
| Practice Address |
11211 Industriplex Blvd., Ste. 900 Baton Rouge LA 70809 |
| Practice Telephone | 8003900914 |
| Practice Fax Number | 8448827076 |
| Mailing Telephone | 8003900914 |
| Mailing Fax Number | 8448827076 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | ROXANNE SMITH (LICENSING MANAGER) |
| Authorized Official Telephone | 9133356787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
054.018311 | IL | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
OS02252 | AR | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.006355-IR | LA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27699 | TX | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
22-13049 | KS | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHY.006355 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125967 | 01 | |
| AR | 186825407 | 05 | |
| LA | 2200747 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336370980 | Optum Infusion Services 305, LLC | Pharmacy | 4 H Raymond Drive, Havertown, PA 19083 | 2009-07-30 |
| 1366603854 | Optum Infusion Services 305, LLC | Home Infusion | 15529 College Blvd, Lenexa, KS 66219-1351 | 2008-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OPTUM INFUSION SERVICES 305, LLC | 15529 College Blvd, Lenexa, Ks 66219 |
| Street Address |
11211 INDUSTRIPLEX BLVD., STE. 900 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1194736249 | Soileau's Vital Care, Inc. | Pharmacy | 7612 Picardy Ave, Suite B, Baton Rouge, LA 70808-4353 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042616 | Align Infusion of Louisiana, LLC | Pharmacy | 3926 Barron St Ste C200, Metairie, LA 70002-5799 | 2019-09-13 |
| 1518117688 | Stewart-johnston Inc | Pharmacy | 1231 Farmerville Hwy, Ruston, LA 71270-3513 | 2008-09-25 |
| 1376607978 | First Call Pharmacy, LLC | Pharmacy | 1500 Veterans Memorial Blvd, Kenner, LA 70062-5386 | 2006-12-20 |
| 1285711390 | Elba Medical Distributors Inc | Pharmacy | 5208 Veterans Blvd, Metairie, LA 70006 | 2006-11-01 |
| 1487742177 | Total Pharmacy Services, Inc | Pharmacy | 7806 Park Ave, Houma, LA 70364-3113 | 2006-10-10 |
| 1518074111 | Kay's Hideaway Pharmacy, Inc. | Pharmacy | 504 Finks Hideaway Rd, Suite 4, Monroe, LA 71203-2470 | 2006-08-23 |
| 1891700431 | Manninos Family Practice Pharmacy Inc | Pharmacy | 113 W Charles St, Hammond, LA 70401-3232 | 2006-07-30 |
| 1962432641 | Complete Vital Care Inc | Pharmacy | 1053 Parkway Dr, Ste B, Natchitoches, LA 71457-6276 | 2006-07-05 |
| 1114973716 | Accredo Health Group Inc | Pharmacy | 520 Elmwood Park Blvd Ste 100, New Orleans, LA 70123-6826 | 2006-05-25 |
| 1265778401 | Icare Pharmacy LLC | Pharmacy | 104 Darwin Cir, Lafayette, LA 70508-7110 | 2012-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.